Bankmed Complaint
 SUPPLIER |
Bankmed |
 INDUSTRY |
Medical Aid | ||
| BRANCH / AREA | jhb | COUNTRY | South Africa | ||
| TIME / DATE | 10:58 Thu 24 May | PERSON RESPONSIBLE | |||
| CUSTOMER | Treylin | View all reports by user |
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1
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| PROBLEM | Passing the Buck |
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| INCIDENT | Thu 24 May | ||||
| HEADLINE | Bankmed please help |
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| Bankmed has just gone to a all time low as I have always had good service. They sent me from pillar to post for the past three weeks now. I had a shooting accident in 2004 and needed surgery then. Now due to that my back has been giving me problems whereby my disk collapsed and pinched my spine on calling them and giving them the authorisation number they said it is a non PMB condition (prescribed minimum condition) and rudely advised I should go to the state hospital then I explain to one lady and she said I need to fill in a pmb form which I did but on the form there is nothing to assist me and all the time I am in agonizing pain and this is a big joke to them I ask for them to put it in writing they didn't I wanted to speak to a manager but they busy ,so please tell me why they are compulsory and why am I paying over R3000 pm for if I cannot even go to a decent hospital. | |||||
| SUPPLIER'S RESPONSE | Bankmed | Time and Date | 11:32:11 | Thu 24 May 12 | ||
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Hello Treylin, Thank you for your comment. Your enquiry will be investigated and feedback will be provided to you within 3 working days. Please do not hesitate to contact our Customer Services Department on 0800 226 5633 should you require further assistance. Kind regards Nazley Solomons Customer Liaison Officer Bankmed |
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| UPDATED RESPONSE | Bankmed | Time and Date | 10:51:24 | Tue 29 May 12 | ||
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Hello Treylin, Thank you for your comment. Hospitalisation on the Basic Plan in contracted private hospitals, non-contracted private hospitals and state hospitals are limited to Prescribed Minimum Benefits (PMB's). Although we are not unsympathetic to your condition, we regret to inform you that ICD10-code provided to Bankmed is not in respect of a PMB condition and hence the authorisation was denied. We encourage you to take the time to know your benefits and be sure to compare the hospitalisation and in-hospital benefits (as set out under "Hospitalisation and Other Major Medical Expenses") of various plans as there are some significant differences in cover. Please consider these differences when making your plan choice for 2013, as you cannot change plans during the year. Please note that the official and appropriate channel to submit enquiries to Bankmed is enquiries@bankmed.co.za, or alternatively you may contact our Customer Service Department on 0800 226 5633 for further assistance. We look forward to being of service to you. Kind regards Wendy van Renen Customer Liaison Officer Bankmed |
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Comments
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