1 reviews | Active since Mar 2013

16 Jul 2025, 12:49

Flagged for a life-threatening condition - treated like an ordinary case

I have always been one to follow due process, I understand customer service environments, I understand exercising patience. Sadly, I have had to resort to using this platform in the hopes of getting an answer. Why, a lack of an escalation channel both through their call center or via their website. Medscheme/ Barloworld Medical Scheme, my mum has been diagnosed with leukemia, she is 69 years old and awaiting feedback on whether her life-saving chemotherapy is going to be approved. We have called; the doctor's rooms have called...countless times. Each time escalated to a case manager who escalates to an unnamed medical advisor, with no turnaround time. Each time we call, it's a further 24 hours for feedback. We've been told doctors must call after they email to officially escalate a case, that the LOM provided by the doctor wasn't linked to her case so the standard tat of 5 days would apply. How is this reasonable? a person's life, prognosis is impacted by these delays. I am even weary of this post since the last hello peter post for Medscheme from June was not responded to. Given the urgency of her condition, I am requesting immediate intervention to expedite the approval process. A person's life should not be jeopardized by administrative bottlenecks.

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Replies (4)
Medscheme
Medscheme's reply16 Jul 2025, 12:59
Official
Good day Naazia

We hereby acknowledge receipt of your enquiry and assure you that we are investigating the matter and will ensure a speedy resolution. A consultant will be in touch with you shortly to discuss the outcome of the investigation.

Kind regards,
Medscheme
's update17 Jul 2025, 08:52
Reviewer Update
still waiting
Medscheme
Medscheme's reply17 Jul 2025, 13:42
Official
Good day Naazia

We apologise for the delay. A consultant will be in contact with you shortly.

Kind regards,
Medscheme
Medscheme
Medscheme's reply17 Jul 2025, 15:36
Official
Good day Naazia,

Thank you for submitting a comment to us through Hello Peter.

As per the interaction with our representative; we hereby confirm that this matter has been attended to and has/will be resolved shortly.

Medscheme strives to give the best customer service to our clients and appreciate it when you bring your concerns to us as to when we have failed to deliver this service.

We apologies for any inconvenience caused to you.

Regards,

Medscheme Team