SG
Sarel G
Active since Mar 2024
5
Reviews
0
Industries
Reviews
5 reviews1 month ago
Poor Transparency and Unclear Claim Rejections
My experience with Bestmed has been extremely disappointing. Communication regarding rejected claims is unclear and often evasive. When I asked for a detailed explanation of why certain claims were declined, I did not receive a direct answer explaining the reasoning or the criteria used to make the decision. Instead, responses typically avoid addressing the specific question and provide general statements without clarifying the underlying logic behind the claim decision. I escalated the matter to senior staff, including the Head of Department and the complaints department. While I eventually received an apologetic response, the core issue—why the claim was rejected and what evidence or rules were used to make that determination—remains unanswered. Only after I indicated that I might approach the Council for Medical Schemes (CMS) for assistance did I receive further correspondence. However, even then, the response did not provide the technical reasoning behind the claim rejection. As a member, all I am asking for is transparency: What evidence was used to evaluate the claim? Which specific scheme rules were app****? Why does the scheme consider part of the claim outside the benefits? Without clear answers to these questions, the process feels opaque and unnecessarily difficult for members trying to understand their benefits. Below is part of the response I received from Bestmed: "We confirm that your complaint was discussed by the Medical Advisors during the weekly Clinical Advisory Committee meeting. After careful consideration of the matter in line with the scheme rules and funding guidelines, it was suggested that you contact the Council for Medical Schemes (CMS) for independent verification and guidance." In my view, members should not need to approach the regulator simply to obtain a clear explanation of their benefits. Based on my experience, I would recommend that potential members carefully compare alternatives before choosing Bestmed. I am personally considering moving to another scheme such as Bonitas, due to the ongoing difficulties I have experienced in obtaining clear and transparent claim explanations.
0 replies
5 months ago
Satisfied Customer
Santam can't beat the price from Outsurance on my vehicles but on my home and home content they are well priced. I have claimed two times in the past and was assisted to resolve the matter. One claim did take a bit long to complete but overall I am satisfied.
53 replies
5 months ago
Poor Service
The service is only active if you call every 3 months to test the unit they installed in your vehicle. If you fail to call, they do not test the tracking system and it may not be functioning. I would expect a company such as this to test and inform you if the unit is not funtional.
71 replies
5 months ago
Satisfied customer
I have only had good service so far from Outsurance. I have however never claimed from Outsurance before. As a general rule, Outsurance will give the best price for items which moves but they could not beat my insurance from Santam for my home and home content.
53 replies
26 months ago
Terrible!
The tracking company service is terrible. I do not think this company has the track record as they report as my tracker has not been active for a long time (while I continued paying the monthly subscription). They informed me that I am responsible to call the call center to test the tracking unit every 3 months when I requested a refund for the time period the tracker has not been active. Therefore, if the tracker is not actively working, they do not inform me. This is just an indication that they do not know that the tracker is not active even though they are a tracking company.
56 replies
Review Distribution
5 Star
0 (0%)
4 Star
2 (40%)
3 Star
0 (0%)
2 Star
0 (0%)
1 Star
3 (60%)