LS
Laetitia S

1 reviews | Active since Aug 2016

23 Aug 2016, 10:05

Inhumane treatment

<p>The medical aid is refusing to authorise a kyphoplasty for a spinal fracture. The reason for non-authorisation was that the procedure is too new to be on the list of authorised procedures. The patient has been hospitalised since 11 August and cannot walk, sit or stand. She must be turned in bed as well to avoid bed sores. The medical aid is only willing to pay for a spinal fusion, a much more expensive procedure, which in her case will not be viable as the spine at T12 and L3 has collapsed and the specialist has recommended a balloon kyphoplasty as the better option for increased mobility. The patient has been in hospital 13 days without any recourse from the medical aid. This refusal for a treament that is cheaper than suggested by the medical aid plus the prolonged suffering of the patient while in hospital is the most shocking, inhumane treatment by a so-called organisation that is willing to take your money but cannot assist you when you are in need. </p>

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Replies (2)
Medshield
Medshield's reply23 Aug 2016, 11:03
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 reply31 Aug 2016, 07:38
Official

Good day Laetitia Sullivan

Medshield Medical Scheme has acknowledged your complaint and would like to thank you for bringing your concerns to our attention. We do sincerely apologised for the inconvenience caused.

Kindly note that as confirmed with our authorisation department your complaint is being reviewed for Ex-gratia, once resolved they will revert to you with feedback.

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 are an important partner to our Scheme.


Should you require any further assistance please contact the Medshield Medical Scheme Contact Centre on ********** .


Yours sincerely


Cleopas Tseka