Extremely bad service & from every department after 4 years!!!

Extremely bad service & from every department!!!

I joined Medshield Medivalue in 2014 with and has never had issues until now. I terminated my medical aid in June 2018 for one month only and joined again in August 2018 where I moved to another medical aid for the month of July where I was not happy with the other medical aid and therefor moved back to medshield within the 90 day period. They told me that all of the members will therefore be placed on a waiting period, as I was not happy with this and requested for my little girl to be active, medshield then activated her within the first day but with an exclusion for gastro.

On the 26th of September my girl was admitted to hospital with a fewer of 42deg, vomiting blood and on the 4th day of admission, only to get a call from medshield informing me that the authorisation was declined as vomiting blood is part of reflux and that Medshield don’t cover Reflux, I therefor had to take my girl out of the hospital cause medshield does not want to approve the authorisation.

In the meantime, the hospital has phoned me enormous amount of times asking for payment as well as the doctor saying that medshield advised them that my account was/is terminated and therefor they wont pay my account of R14 000 for the hospital only.

I feel like I am being penalised for not being with medshield for one month only. I therefor will take this matter further for investigation as I have all the recorded voice messages where none of the consultants can assist me.

I need someone’s help to come to the bottom of this matter. I keep on phoning in for hours and hours where medshield always says they will get back to me but never does. Also, I requested for a claim for a digital thermometer which Medshield said I can claim back, still I have not received any feedback regarding this as well.

I am really discussed with the way that I am being treated after 4 years.