cS
cayla S

1 reviews | Active since Dec 2019

24 Oct 2023, 09:54

DECLINED AUTHORISATION

I WAS DIAGNOSED WITH SPINAL STENOSIS ON 30.08.2023, I HAD A PROCEDURE DONE IN HOSPITAL TO ASSIST WITH THE PAID AND NUMBNESS IN MY LEGS, BUT IT DID NOT WORK. THE NEUROLOGIST CONTACTED MEDSHIELD FOR PRE AUTHORISATION FOR ME TO HAVE A OPERATION ON MY BACK WHICH THEY DECLINED AS MY OPTION DOES NOT COVER BACK OPERATIONS. I WAS TOLD TO WRITE A MOTIVATIONAL LETTER TO THE MEDICAL AID WHICH I DONE BUT THEY STILL DECLINED MY OPERATION, THEY EVEN DECLINED THE DR. MOTIVATIONAL LETTER. I WAS THEN ADVISED THAT I NEED TO MOVE TO A HIGHER OPTION IN ORDER TO GET THE OPERATION DONE, TO DATE I STILL HAVE NO FEEDBACK FROM MEDSHIELD, ONE CONSULTANT TELLS ME I CAN ONLY CHANGE MY OPTION ON THE 1ST OF JAN 2024 THE OTHER ONE SAYS I CAN DO IT ON THE 1ST OF NOVEMEBER 2023 AND THEN I WILL BE ABLE TO HAVE MY OP ON THE 1ST OF DECEMBER 2023. MY OP IS SCHEDULED FOR THE 30TH OF NOVEMBER 2023, WITHOUT HAVING THIS OP I CAN LOSE ALL FEELING IN MY LEGS AND END UP PARALISED. MEDSHIELD HAS DISSAPONTED ME AND I TRULY HOPE THAT THEIR MANAGMENT COULD CONSIDER ALTERNATIVES FOR MEDICAL EMERGENCIES

0
Replies (3)
Medshield
Medshield's reply24 Oct 2023, 11:20
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 urgently.
 
 Yours sincerely,
 Medshield
cS
cayla S's update25 Oct 2023, 16:40
Reviewer Update
And this the response, this is very wrong. How can I be declined treatment even when a Dr (A Neurologist) has written a motivation as to why I need this surgery.

So, if I become Paralyzed what do I I then get to do?? image.png 132.31 KB
Medshield
Medshield's reply26 Oct 2023, 13:07
Official
Good day, 
 
 Medshield Medical Scheme has acknowledged your complaint and is currently investigating.
 
 Kindly note that your concerns have been prioritized and feedback will be provided urgently.
 
 Yours sincerely,
 Medshield