ST
Siyanda T

1 reviews | Active since Oct 2012

10 Jun 2016, 08:58

Appauling Customer Service.

<p>In the past, I have been recommending Medhsield to my friends, but I will certainly not be doing that AGAIN!</p> <p> </p> <p>On the 12th of April 2016, I submitted my claim of R 2630 and I received an automated reply that acknowledged my claim. I did not receive feedback until enquired further about my claim sometime in May 2016 when I called into the call centre. The person I spoke initially said they cannot see my Claim on the system. Eventually, with back and forth and speaking to another consultant, they said my Claim was paid out but to the Service Provider (the Doctor's Practice) instead of the payment being made to my bank account which they normally used to do in the past. Beacause, I was scheduled for another appointment, in this case, now on the 14th of June 2016, I didnt mind that the payment was made to the Doctor because that takes care of the payment for the upcoming appointment.</p> <p> </p> <p>I eventually received email communication from Medshield confirming that the payment was made to the Doctors practice including the specific details, the total amount paid was R 2714.30. Naturally I assumed the information is correct and unfortunately I did not read in details in the email, turns out that Medshield actually sent me incorrect information. Medshield paid the incorrect amount to the wrong Doctor. Therefore, my Claim actually has not been actioned. This puts me in a financial predicament because on Tuesday, the 14th of June 2016, I need to pay another Doctors fee without my receiving the Medical aid reimbur*****t that I claimed for in April already.</p> <p> </p> <p>The 2nd financial predicament is that I have started a new job on the 1st of June that requests for me to be on the Company's Medical aid. On the 18th of May 2016, I sent an email communication to Medshield to cancel my Medical Aid and still to this day, I have only received the auto reply response from Medshield acknowledging my email and no action nor have I received a response to advise me of the next steps. I sent a follow up email on the 2nd and on the 6th of June requesting assisting for cancelling my memebership, the only response Ive received is an auto reply once again.</p> <p> </p> <p>In my follow up emails I have noted my concern and reasons for cancelling and my biggest concern is that I am pregnant and cannot afford not having cover and another worst scenario, having to pay at the end of June the new Medical Aid premmium plus Medshield premium because they have not actioned any of my requests. What I have been expeciting is communication of the next steps from Medshield for cancelling so that I can notify my new Medical Aid of those next steps in order to avoid paying twice for cover in my new Medical Aid and Medshield. </p> <p> </p> <p>I have been using the email communication because calling into their call centre is not great. With emails, I avoid the incompetence of their consultants and atleast receive information on black and white that I can respond to comfortably as the client. As a result of this horrble service, I called Medhsield call centre this morning and the IVR message says they are currently not taking calls because they have a corporate event - WOW!</p> <p> </p> <p>Its amazing how collecting premiums is the easiet thing to do and without fail, I have ensured there is always money in my account to ensure I have cover, however, Medshield has failed me in such a dissapointing manner and did not look after my interest as their client. We as client need to use platforms such as these to express our frustrations because the company has failed to deliver on their promise but going to my bank account and collecting premiums has been the easiet thing to do!</p> <p> </p> <p>I wonder Medhsield, when you resolving this issue, if you will be treating me fairly (apply TCF principles) only because I have noted my frustration on this platform or because you actually care and want to improve the way you do business with your clients? Whatever the reason, I dont care anymore, all I want is for this to be resolved ASAP so that I never have to deal with you guys ever AGAIN!</p> <p> </p> <p> </p>

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Replies (2)
Medshield
Medshield's reply13 Jun 2016, 05:12
Official

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

Medshield
Medshield's reply13 Jun 2016, 10:01
Official

Good day.

As per our telecoms your membership has been terminated effective 30/06/2016 and confirmation has been sent to you. All claims in question have been processed and paid accordingly.

Yours sincerely

Medshield