Incorrect information by consultant
<p>I joined this medical scheme sometime in July and my benefits were accessible from the 1st of August 2017.I just recently found out that I’m 2months pregnant and my main worry was the fact that I won’t be covered for labour/hospitalization. I gave the CallCenter a ring as advised by my doctor and explained to the consultant whose name I can’t recall my situation, he then advised that I would have to send through a detailed report drafted by my current GP to state or motivate that I wasn’t aware of my pregnancy prior to joining the medical scheme to this ********** I then spoke to my doctor who was willing to draft the report at a charge of R300 and I gave him the go ahead.</p> <p>My colleague is using the same medical aid which he covered her partner who’s also expecting and upon covering her she was already pregnant in saying so he was assured that they will be covered for all benefits including hospitalization when her partner gives birth. Today on the 10th August 2017 I called the medshield CallCenter and i was assisted by Thandi who was very helpful, I explain my problem to her and she asked if I joined through my employer or individually mind you i was never asked this by the previous agent. She further explained that because i joined via my employer there isn’t any underwriting so I’m covered for everything. So what I need to know is who will be liable for the much anticipated report that my Doctor put his time and effort in drafting?</p> <p> </p> <p>If the consultant was competent then none of this would be a burden to me.</p>
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
Best regards,
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
Best regards,
Good day
With reference to your Hello Peter Complaint received on the 10/08/2017.
We can confirm, the Scheme will pay for this report (R300.00).
Please may I kindly request you to email us the copy of this report as well as a detailed account from the doctor who is billing for it.
It should be noted, the Scheme does require this report in order to further investigate.
However, when the Scheme request for this report, the Scheme will be liable for the cost of it.
We trust you find the above in order.
Should you require any further assistance please contact the Medshield Medical Scheme Contact Centre on ***.
Yours sincerely
Medshield
Best regards,
Good day
With reference to your Hello Peter Complaint received on the 10/08/2017.
We can confirm, the Scheme will pay for this report (R300.00).
Please may I kindly request you to email us the copy of this report as well as a detailed account from the doctor who is billing for it.
It should be noted, the Scheme does require this report in order to further investigate.
However, when the Scheme request for this report, the Scheme will be liable for the cost of it.
We trust you find the above in order.
Should you require any further assistance please contact the Medshield Medical Scheme Contact Centre on ***.
Yours sincerely
Medshield
Best regards,
Hi Medshield
Im really happy on how this matter was handled it was quite unexpected
You really do keep up to your values, may you kindly provide me with the email address where the
necessary documation is to be sent.You can foward it to my personal email address
Thank You
Hi Medshield
Im really happy on how this matter was handled it was quite unexpected
You really do keep up to your values, may you kindly provide me with the email address where the
necessary documation is to be sent.You can foward it to my personal email address
Thank You
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
Best regards,
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
Best regards,
