EP
Etienne P

1 reviews | Active since Sept 2018

17 Sept 2018, 13:50

Absence of basic customer care and service

I am a member of the above medical aid scheme and my membership number is: ********** 2581 My benefits include hospitalisation and I was admitted in an emergency on Tuesday 11 September 18 and discharged on Friday 14 September 18. When I started receiving the accounts, Medshield all of a sudden and without any knowledge on my part or of the hospital and my Doctor, require a PMA form before settling the hospital account. The problem is, it is physically impossible to obtain the from for Medshield because all the staff that I had the misfortune to deal with are *********** and unhelpful. So I am left with the obligation to settle the accounts but my medical aid is hiding behind some additional form to avoid paying the accounts I am submitting to you now in desperation, as I have exhausted all the internal channels within Medshield as well as my own financial resources (I am a pensioner) in data and airtime to speak to someone with more than two brain cells. Please assist before I have to try and access funds to pay the medical bills.

Sincerely Etienne du Plessis ********** 776

0
Replies (4)
Medshield
Medshield's reply17 Sept 2018, 14:25
Official

Good day,

Medshield Medical Scheme has acknowledged your complaint and is currently investigating.

Kindly note that your concerns have been prioritised and feedback will be provided within 5 working days.

Yours sincerely,

Medshield

EP
Etienne P's update17 Sept 2018, 14:54
Reviewer Update
Thank you to Hallopeter for the speedy response and for managing a response from Medshield. I have failed to do this after many attempts and wasting of a substantial amount of airtime and data. I am waiting to see what the latter does with my query as I am determined to escalate this to the highest authority if not resolved by them, including wide media publicity, the Ombud and whatever other remedies are available to me after that. It is time that consumers who pay dearly for promised benefits are treated as human beings and not as a source of nuisance to the staff who are employed by Medshield to assist customers. It is a disgrace to say the least. If it takes this much effort to solicit the simple e-mailing of a brand new form (which was never communicated to me or anyone else when authorisation was obtained) how much more is it possibly going to take to force Medshield to comply with their obligations as a Medical Aid and to pay legitimate claims? Finally, I was shocked today to read the number of customer complaints on the Hallopeter website of non-payment by Medshield. If I had known this beforehand, I would never have considered them in the first place.
EP
Etienne P's update19 Sept 2018, 09:26
Reviewer Update
I visited Mediclinic yesterday and spoke to the lady at the admissions counter who looked at the system and informed me that the clerk who admitted me on Tuesday 11 Sep 18 followed the correct, standard procedure for obtaining authorisation from Medshield prior to admitting me. Medshield was supposed to respond electronically and if there was an additional form to be completed (which since became known as a PMA form), Medshield should have forwarded it immediately to the hospital so that it could be completed by my GP. Medshield did nothing of the sort and elected to remain silent. They are acting in a most obstructive manner and their behaviour is deplorable. As we speak I have received no further feedback from them and I note that the reply that their Management gave to Hellopeter is a standard one. At no time does it appear possible to speak to a human, all correspondence is automated.
Medshield
Medshield's reply21 Sept 2018, 11:32
Official

Good day

With reference to your Hello Peter Complaint received on the 17/09/2017.

As discussed telephonically, we have received a formal complaint from yourself which is similar to the Hello Peter complaint and feedback will be provided to you with complaint department through your personal email address .

Yours sincerely,

Medshield