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Eugenia Ndabana-Mujuta

1 reviews | Active since Jan 2022

21 Dec 2023, 09:53

Cover zero claims.

Horrible They don't cover anything. Always co-payments.

My recent experience with them... I called the call centre asking if a certain code can be used with a certain provider the answer was yes. I go, only to get feedback it's been rejected.

In the brochure page 37, code 3617 with a radiologist is covered. Now all of a sudden the story changes. The scan must be done by a gynae... what gynae does this? Certainly not mine, hence the referral.

Sick and tired of this **** medical aid.

0
Replies (2)
Medshield
Medshield's reply21 Dec 2023, 13:39
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

Best regards,

Medshield
Medshield's reply22 Dec 2023, 10:52
Official
Good day, 
  
  As discussed telephonically ,account enquiring has been rejected correctly as service provider billed with incorrect tariff code.An amended account with correct tariff code is required for the scheme to process account accordingly.
  
  Yours sincerely,
  Medshield

Best regards,