Medscheme Refuses To Pay

Medscheme pushes clients from pillar to post which delays claims submission & then you miss the claim window. They just refuse to pay.

My medical aid changed administrators (from medscheme to someone else) & over the past 4 months since my daughter was born, both myself & the doctors were pushed from pillar to post when attempting to submit the claims to the previous administrator (Medscheme).

When dealing with the consultants I specifically asked, several times to speak to a supervisor, which never happened, they promised that the supervisor would call me back, never happened.

Now I get told today via email that the window to attend to my claim closed on 31.10.2019 & they can simply not do anything. This is the most ********** service you can get as a client whom pays large sums of money for service & cover, but when you need it, they can't provide it.

During my calls & emails, I was never notified that all the claims needed to be finalized before a set date. Even though my email reached Medscheme before the close off date, it reached them at 15h41 on the last day (which I was unaware was the last date to submit), this was after the person had left for the day. How can you just leave a mailbox unattended?

To say that I am disappointed and disgusted is an understatement. My advice is to STAY AWAY from Medscheme!