lL
laracockin L

1 reviews | Active since Sept 2016

05 Feb 2018, 17:59

TOP MED WORST DISGUSTING PATHETIC MEDICAL AID!

I have been a member of Top Med since December 2016 and have NEVER had to make use of any hospital pre-authorisation until now. I have to go in for a minor procedure - same day out - Endometrial Ablation which was scheduled for tomorrow Tuesday 6 February 2018. My medical aid was reversed by my bank, Nedbank, in ERROR (of which i have another fight on my hands and subsequently closed my account.) This happened on Friday, 2 February late in the afternoon after the bank had already closed and was unable to attend to this matter until today, Monday, 5th February 2018. I immediately made an EFT - instant payment into Top Med's bank account and sent proof of payment. Top Med immediately suspended my membership. I contacted my other bank ABSA and was informed the instant payment should reflect after an hour and it has indeed gone off my account so the instant payment was definitely made. I contacted Top Med again and told them that i have made an instant payment and wish to speak to someone in the accounts department urgently as my procedure was already booked for tomorrrow. I received a call from Pinehaven Hospital and was informed that my procedure was approved and authorised. I then received a call from my doctor's rooms and was also told the procedure was approved/authorised. I contacted Top Med again to confirm my instant payment had been received but was told it will only reflect tomorrow so i cannot have the procedure until payment is reflecting. I contacted my doctor and hospital AGAIN to inform them of this. AGAIN, i contacted Top Med and demanded to speak to the accounts dept and again was told, "they not available" i must phone back after 2pm. I received a call later this afternoon from Mohamed informing me that they "cannot allocate my payment - what reference did i use was his question..?" I told him, "how convenient and blasted this Mohamed as i am now furious and completely disgusted with the pathetic service. THIS IS ABSOLUTELY DISGUSTING!!! I need to have that procedure immediately for health reasons and i went out of my way to pay the R1598 AND make it an INSTANT PAYMENT of which will be at an extra cost to ME and their attitude is completely rediculous and unnecessary. THEY ARE QUICK TO TAKE YOUR PREMIUM EVERY MONTH BUT GOD FORBID YOU NEED HOSPITAL CARE! I am therefore CANCELLING my medical aid with TOP MED - they have to be the worst medical aid i have ever dealt with in my entire life.

0
Replies (2)
TopMed Medical Scheme
TopMed Medical Scheme's reply06 Feb 2018, 09:35
Official

Dear Larac76

We wish to confirm that the post has been received and is being investigated. You will be contacted shortly.

Kind Regards

Shaun Gaines

TopMed Medical Scheme

TopMed Medical Scheme
TopMed Medical Scheme's reply07 Feb 2018, 08:27
Official

Dear Larac76

We wish to confirm that the enquiry and complaint has been addressed as per our telephone call with you. Please do not hesitate to contact us on ***or *** should you have any further enquiries.

Kind Regards

Shaun Gaines

TopMed Medical Scheme