1 reviews | Active since Apr 2017
Disgusting Service
<p>I joined Medshield on the basis of the brochure which is how they advertise their products. On the brochure my optical limit is R1 550 per beneficiery every 2 years. It then continues to list the optical products that are SUBJECT TO OPTICAL LIMIT. When I went to the optometrist to replace my lenses in my spectacles and order more contact lenses, only the contact lenses were paid out. I called countless people at Medshield, half saying that they only cover EITHER contacts OR spectacles and the others saying both were covered subject to the optical limit which was more than enough to cover both. (It seems no one actually did any training on the products they offer). Then I was told by a lady called Petunia that the brochure is just a summary and that it is clarified under the "Subject to relevant Optometry Managed Healthcare Programme and Protocols" on the brochure. BUT WHEN I JOINED MEDSHIELD THESE "PROTOCOLS" WERE NOT GIVEN TO ME and clearly doesn't state anything about only covering either/or. I am disgusted with the service of the call centre and Medshield as a provider. </p>
Good day Member
Medshield Medical Scheme has acknowledged your complaint and is currently being investigated.
Kindly note that your concerns have been prioritised and feedback will be provided within 5 working days.
Yours sincerely,
Medshield
Best regards,
Good day Member
Medshield Medical Scheme has acknowledged your complaint and is currently being investigated.
Kindly note that your concerns have been prioritised and feedback will be provided within 5 working days.
Yours sincerely,
Medshield
Best regards,
Good day,
Medshield Medical Scheme has acknowledged your complaint and would like to thank you for bringing your concerns to our attention.
On receipt of the complaint referred to herein, the Scheme can confirm the following:
As per page 17 of your MediValue brochure, your optical limit is subject to the relevant Optometry Managed Healthcare Programme and Protocols, included in this protocol is spectacles or contact lenses not both.
We can confirm that incorrect information was provided to yourself via the Scheme’s Contact Centre that both the contact lenses and spectacle lenses would be covered. The Scheme will honor this approval and the said claim has been processed and will be funded to the provider within the Scheme’s next payment run.
On behalf of the Scheme, we would like to unreservedly convey our apologies to you for any frustration and inconvenience that you might have experienced as a result of the poor handling of your enquiry. We would further like to provide you with the assurance of Medshield’s commitment to improved service delivery as you as the member is an important partner to our Scheme.
Yours sincerely,
Karin Binstead
Medshield Medical Scheme
Best regards,
Good day,
Medshield Medical Scheme has acknowledged your complaint and would like to thank you for bringing your concerns to our attention.
On receipt of the complaint referred to herein, the Scheme can confirm the following:
As per page 17 of your MediValue brochure, your optical limit is subject to the relevant Optometry Managed Healthcare Programme and Protocols, included in this protocol is spectacles or contact lenses not both.
We can confirm that incorrect information was provided to yourself via the Scheme’s Contact Centre that both the contact lenses and spectacle lenses would be covered. The Scheme will honor this approval and the said claim has been processed and will be funded to the provider within the Scheme’s next payment run.
On behalf of the Scheme, we would like to unreservedly convey our apologies to you for any frustration and inconvenience that you might have experienced as a result of the poor handling of your enquiry. We would further like to provide you with the assurance of Medshield’s commitment to improved service delivery as you as the member is an important partner to our Scheme.
Yours sincerely,
Karin Binstead
Medshield Medical Scheme
Best regards,