1 reviews | Active since Feb 2023
Declining claims and Intentional delay of authorization
I joined medshield with a preexisting medical condition. When I app**** for preauthorisation it was declined and my membership was canceled because i had allegedly not disclosed my preexisting condition. I tried calling them to inform them that I had disclosed, but they said they would investigate, but the investigation was never done and my membership remained terminated. I approached the company which I had used to join medahield and after they intervened my membership was reinstated. I was informed by the company, but I am the one who had to constantly call medshield medshield to confirm the reinstatement with medshield, and my records with them showed that my membership was terminated and the people I spoke to could not assist. After multiple calls the problem was resolved and I was reinstated, but my preauthorisation application is being delayed even though I was told that it would be authorized. I never received a call or email to apologize, and to this day I have to constantly call them to follow-up. It's like they are looking for a reason to decline again. It is very stressful that they treat me like I don't pay my premiums. My application has been with their assessment team for over 6 months now.
Medshield Medical Scheme would like to thank you for bringing your concerns to our attention.
Kindly be advised that your complaint has been reviewed and a response has been forwarded to your email address registered with the Scheme.
Yours sincerely,Medshield
Medshield Medical Scheme would like to thank you for bringing your concerns to our attention.
Kindly be advised that your complaint has been reviewed and a response has been forwarded to your email address registered with the Scheme.
Yours sincerely,Medshield
