Bankmed
DSP HOSPITAL DOCTORS, BEWARE OF BANKMED

I have now been a member for a 4 year period, this year Bankmed has put through numerous plan changes, yes communicated to members, not all of it, and very confusing. I had 2 operations done in the month of September, on the 7th September 2013, went to Umhlanga Hospital, which is on th e DSP list, phoned in for a pre autorisation, Bankmed said it was fine and I think they said, it was 100% or 125% coverered above themedical aid scheme rate. The second operation was to remove my tonsils, again found a hospital on the DSP list, went through with a specialist who practises at Olivedale hospital, phoned Bankmed and they said it was approved, and the would pay up to 125% of scheme rate. In both instances, a co payment of R500 was due from my side and payable to the hospital. Why does bank med pre auth. consultants not inform members that there is a list of DSP doctors as well?? I think Bankmed is extremely ridiculous, and these rule changes are unaccpetable, and really needs to be revised. I now have hige hospital bills!! And guess what, there are no ENT specialists on the West Rand, now one is expected to go out of their areas for planned procedures.

Company: Bankmed
Country: South Africa
City: Cape Town

  <     >