1 reviews | Active since Sept 2018
Delayed pre-auth and treated like some ********
I was referred to a gynecologist by my GP because of pain in my abdomen & painful periods. Went to see one and she said I needed to have a laparoscopy to remove a cyst that she had discovered. She booked me for the procedure, then the day before the procedure the doctor said she was waiting for authorization from topmed. The doctor had filled in the medical form she was asked to. I called them around 2pm as they had not gotten back to me or the doctors rooms. Spoke to a lady who was rude and had no interest in making me understand what was going on. Instead she referred me to my broker. What nonsense!!??? She told me there was no authorization as I had joined the medical aid this year and they needed to do investigations for pre- existing medical conditions. Mind you, she didn’t tell me this I had to dig it out of her because I work in the insurance industry and have some understanding of pre-existing medical conditions. Had I not called wh m would she have told me this ? I had made arrangements for the procedure. She didn’t even call the doctors to tell them what the conclusion was. The doctors had to keep calling her.
Fair enough, they want to make sure, but why will it take 7-14 working days ? And where are they going to get the required information because they didn’t ask for any of my doctors detail ???? I have never claimed for anything on any medical aid other than gp visits. The only procedure I had was not with them and I was a dependent on the medical aid and I disclosed the procedure.
That consultant treated me like I was some ******** who was being investigated which really infuriated me . To think I was in the process of canceling the medical aid my partner is on to add him and the children onto topmed.
What if I had to be admitted in an emergency? Would I have been told to wait 7-14 working days ???
I am soooooooooooo DISAPPOINTED!!!!!!
Dear misskhanyi
Thank you for taking the time to comment on your interaction with the Scheme.
As discussed telephonically today, we will investigate the matter with urgency and provide you with the necessary feedback on your enquiry.
Kind Regards
Joanine Knoetze
Topmed Medical Scheme
Dear misskhanyi
Thank you for taking the time to comment on your interaction with the Scheme.
As discussed telephonically today, we will investigate the matter with urgency and provide you with the necessary feedback on your enquiry.
Kind Regards
Joanine Knoetze
Topmed Medical Scheme
