1 reviews | Active since Mar 2015
CHRONIC MEDICINE CLAIM REJECTED.
Once again Im back complaining about medshield and my chronic medicine, honestly I feel deffeated a person can only handle so much. I got a call today from Melanie at Clicks pharmacy direct telling me that my medical aid has reject Dopaquel due to depleted benefits. I asked how is it so because this is chronic benefits shouldn't ran-out and she said she doesn't know. I call medshield and I spoke to Yolanda who told me that the dopaquel it went off from acute instead of chronic and she told me that the pharmacist is the one who's diagnosing to them. I told her that I'm not putting that phone down until I get clarity. she called mediscor and according to Yolanda(120919QMFB88) everything is sorted out. I also got a call from Melanie advising me that she called medshield and authorise my medication on my behalf. Nobody told me that I need to authorize the script since it was my Psychiatrist who use to do everything and unfortunately due to medshield refusing to pay his claims he only gave me the script of which I paid out of my own pocket. I'M SICK AND TIRED OF MEDSHIELD EVERYTIME I NEED TO FIGHT WITH THEM BEFORE I GET MY CHRONIC MEDICINE AND THERE'S ALWAYS NEW STORIES AND THEORIES THAT I DON'T KNOW ABOUT. I CANT WAIT FOR THE YEAR TO END SO THAT I CAN TAKE MY BUSINESS ELSEWHERE WHOEVER IS IN CHARGE IS ****ING THE US HE OR SHE DOESN'T CARE ABOUT US HE ONLY CARES ABOUT HIS/HER POCKETS. WHATS THE POINT OF MEDICAL AID IF IT CANT HELP YOU IN THE TIME OF NEED.
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 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
