In October 2012, I needed to go for a mammogram, and the terms of such a procedure on the Basic plan that I am on state that "100% of Scheme rate, limited to one pbpa age 40 years and older (benefits for beneficiaries younger than 40 years subject to motivation and prior approval)." My GP wrote a motivation because of the lumps that I still have in my breasts, and we then waited for authorisation. On 15/10/2012, Bankmed issued an authorisation letter and I quote "The motivation for the payment of the above mentioned procedure was referred to the Medical Advisor for consideration and was approved. This procedure will be covered at 100% of the Scheme Rate subject to the Wellness and Preventative Care Benefit, limited to one per beneficiary per annum." I then made an appointment at a hospital to have the scans done.
In March 2013, I receive a bill that shows that the claim for procedure was rejected by Bankmed and that I am liable for the full amount of the account.
I spent many hours on the phone with Bankmed, who has sent me from pillar to post. The account is STILL not settled. I cannot believe the level of incompetence that exists with my current medical insurer. I find t
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