NM
NV M

1 reviews | Active since Jul 2018

10 Nov 2021, 11:39

Horrible service and refuse to pay for almost anything.

I have been on this medical aid for the past 5 years and have never had any issues with till the past two years. They are refusing to pay for anything, I constantly have to pay out of pocket yet for the past five years they have been deducting money out of my account without fail but when it comes to actually paying for services they come up with all sorts of excuses. They do not have a specialist network yet they expect doctors to have their codes and if the doctors don't use these codes which they do not have because they are not contracted to medshield, medshield then refuses to give me the codes so I can give to the doctor because that would be "diagnosing a patient". Now I am left to pay for absolutely everything yet they present themselves as this medical aid that covers everything and gives you peace of mind. To top this off they have the worst customer service agents who are full of attitude rather than an approach to assist. This medical aid has become a nightmare and I am truly disappointed in their declining level of service because it was never like this 5 years ago.

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Replies (2)
NM
NV M's update10 Nov 2021, 13:41
Reviewer Update
They also refund only 40% of claims! You pay R1200 for a specialist appointment and they only pay a measly R480?!!!! What a ****!
NM
NV M's update11 Nov 2021, 12:58
Reviewer Update
That is precisely why I wrote this review. The fact that you have the codes and the doctors do not yet you refuse to give out the codes and only pay 40% of specialist claims. This response was a complete waste of both your time and mine. You telling me the exact same thing which is on my review is just pointless and really goes to show how little care you guys actually have for your clients. You took all this time to send me a copy and paste response, what for??? You do not care and it shows.