1 reviews | Active since Apr 2013
Mental health treatment refused due to Medscheme administrative errors
Medscheme's blunders have led to one of my dependents being refused mental health treatment for weeks due to Mescheme's administrative errors in the Mental Health Program department. The lady whom assisted us in a friendly manner captured the incorrect effective date for enrollment in the program, leading to Medscheme not paying for three treatments. Due to our account with the medical practitioner being in arrears by the tune of thousands of rands as a result of this error, my dependent is have been refused treatment for three weeks. The dependent is supposed to receive treatment at least once, but preferably twice a week.
Now the buck is being passed between departments and the claims have been reprocessed numerous times, but no-one from the Mental Health Program seems to be willing to contact the accounts department to get the claims paid out.
If someone reading this post is considering joining a Medscheme-administered medical aid I can tell such a person that, in my experience, they are great at collecting premiums, but appear to be inept at paying for valid claims.
Thank you for submitting a comment to us through Hello Peter.
This email serves to confirm that we have received your comment.
We, however, need further information, such as:
- Medical aid number
- Ref number
- Agent you spoke to
- ID number
We trust that we will hear from you soon so that your complaint can be dealt with promptly.
Kind regards
Medscheme Team
Thank you for submitting a comment to us through Hello Peter.
This email serves to confirm that we have received your comment.
We, however, need further information, such as:
- Medical aid number
- Ref number
- Agent you spoke to
- ID number
We trust that we will hear from you soon so that your complaint can be dealt with promptly.
Kind regards
Medscheme Team
Thank you for submitting a comment to us through Hello Peter.
This is to confirm that we have received your comment and that we are currently investigating this matter.
Our representative will be in touch with you shortly to discuss this matter and ensure that it is speedily resolved.
Kind regards
Medscheme Team
Thank you for submitting a comment to us through Hello Peter.
This is to confirm that we have received your comment and that we are currently investigating this matter.
Our representative will be in touch with you shortly to discuss this matter and ensure that it is speedily resolved.
Kind regards
Medscheme Team
