1 reviews | Active since Dec 2016

07 Aug 2019, 12:52

Dishonest medical aid

I don’t understand how this medical aid works AT ALL because you do not cover what you say you cover and if you do, there’s co-payments for it. You guys charge co-payments for my daughter’s chronic medication even when it has been approved and is on the list. I went to visit my gynae for a pregnancy consultation only to get a call 3 weeks later from his accountant stating that i need to pay R340 for an ultrasound that is excluded. Your benefits say you cover ultrasounds, why then must i pay for this? Then i call your call centre to register for the maternity benefit as i was under the impression that i had to call but i was advised that i dont have to register, its automated picked up by the system and I AUTOMATICALLY start using the maternity benefit. When i check my saving, they are lower because my gynae visits come from my savings and not maternity benefit. It makes me think if my hospital bills will be paid at all if im getting such problems from this medical aid NOW!!

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Replies (2)
Medshield
Medshield's reply07 Aug 2019, 13:14
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
Medshield
Medshield's reply15 Aug 2019, 08:41
Official
Good day Member

Medshield Medical Scheme has acknowledged your complaint and 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 ***

Yours sincerely

Medshield