LAIRS, HEARTLESS AND DOESN'T WHO DOESNT CARE ABOUT THEIR CLIENTS HELP WHAT MATTERS TO THEM ITS MONEY FIRST HEALTH LAST.

I'M WRITING THIS WITH GREAT DISBELIEF, SADNESS AND WITH TEARS. LAST YEAR NOVEMBER I WENT TO DR BB MARIVATE FOR PSYCHOTHERAPY AND SCRIPT REVIEW THE TARIFF CODE THAT THE DOCTOR USED IT WAS 2974( THEY ALWAYS USED THIS CODE IN MOST OF ALL THEIR CLAIMS). AFTER FEW DAYS I WAS CALLED BY THE DOCTOR INFORMING ME THAT THE MEDICAL AID REJECTED THE CLAIM DUE TO BENEFITS DEPLETED MIND YOU I'M ON CHRONIC SINCE JAN 2016. I CALL MEDSHIELD AND I WAS ADVISED THAT THE DOCTOR SHOULD USE THE PRESCRIBE TARIFF CODES THAT APPEARING ON MY MEMBER STATEMENT(0161, 0162, 0163, 0164, 86200). FAST FORWARD ON THE 17/07/2019 I WENT BACK TO THE DOCTOR TO SORT-OUT THE ISSUE SINCE I COULDN'T SOLVE IT OVER THE PHONE WHEN I GOT THERE THE DOCTOR TOLD ME HER CANT ASSIST ME BECAUSE THOSE TARRIF CODES ARE FOR FIRST CONSULTATION AND IF HE USED THEM IT MEANS HIS LYING TO MEDICAL AID SINCE IT WAS A FOLLOW UP VISIT. I CALL MEDICAL AID I SPOKE TO SIBONGILE NHLAPHO WHO TOLD ME THAT THE DOCTOR SHOULD USE THOSE CODES ONLY IF HE USE 2974 THEY WON’T SETTLE THE CLAIM. I ASKED TO SPEAK TO SOMEONE SUPERIOR SINCE SHE WAS NOT HELPING ME AND SHE WAS RUDE SHE TOLD ME THAT IT’S POINTLESS TO TRANSFER ME TO THE SUPERVISOR BECAUSE HIS GOING TO TELL ME THE SAME THING. TECHNICALLY SHE WANTED TO DENY ME THE RIGHT TO SPEAK TO SOMEONE ELSE SINCE I WAS NOT HAPPY WITH HER SERVICE AFTER HOLDING FOR MORE THAN 15 MINUTES I WAS TRANSFERED TO MUKOSI WHO TOLD ME A DIFFERENT STORY FROM THE SIBONGILE. H SAID THE DOCTOR NEEDS TO SEND A REQUEST AND MOTIVATE FOR THAT CODE TO BE LOADED ON THE SYSTEM AND I TOLD HIM WHY IS THIS HAPPENING NOW AFTER 3 YEARS HE CHECKED THE PREVIOUS CLAIMS AND HE TOLD ME THAT THE DOCTOR WAS USING A DIFFERENT ON PREVIOUS CLAIMS. HE SAID THAT EVERY YEAR BENEFITS CHANGES AND THE DOCTOR NEEDS TO SEND REUST AND I ADVISED HIM NO ONE COMMUNICATED WITH ME REGARDING THIS MATTER AND SAID THE DOCTOR KNOWS ABOUT IT AND IF THE DOCTOR IS USING 2974 THEY WON’T PAY UNTIL ITS LOADED ON MY PROFILE. I ASKED MY DOCTOR TO CALL BACK MUKOSI ON HIS DIRECT LINE ***9** THE DOCTOR SPOKE TO HIM AND HE ADVISED THE DOCTOR THAT THEY WON’T SETTLE NOVEMBER CLAIM AND I THEY WON’T PAY FOR YESTERDAY VISITS. HE ALSO TOLD THE DOCTOR THAT I MUST COMPLETE CHRONIC FORMS OF WHICH I FIND IT STRANGE HOW CAN I COMPLETE THOSE FORMS AGAIN SINCE THEY WERE COMPLETED IN 2016. I WAS ANXIOUS, INSOMNIAC I HAVEN'T HAD A SLEEP THE PAST 3 NIGHTS, I DEPRESSED I'M DROWNING I NEED TO SPEAK TO SOME I NEED A THERAPY SESSION. THE DOCTOR SAID ITS EITHER I PAY CASH OF R1200 OR HE WON’T ASSIST ME FOR FREE BECAUSE THOSE CODES ARE WRONG THE MEDICAL AID IS INSTRUCTION HIM HOW TO DIAGNOSED HIS PATIENT. I HAVE NEVER FELT SO DEFEATED, HOPELESS AND HELPLESS AND SAD. THE DOCTOR SAID TO ME HE CAN ONLY WRITE A SCRIPT SINCE IT HAS EXPIRED AND I HAD TO PAY HIM FOR THAT. WHATS THE POINT OF HAVING MEDICAL AID IT STILL NEED TO PAY CASH? I'M PAYING LAB, RADIOLOGIST FOR SERVICES THAT WERE SUPPOSED TO BE PAID BY THIS SKELEM CODE MEDSHIELD. I TOOK A DAY OFF I REALLY NEED HELP I HAVE MENTAL ILLNESS GOING CRAZY I'M A VOLCANO READY TO ERUPT I FEEL DOWN, USELESS, FAILURE, STUPID AND ITS EVER WORSE I'M PAYING OVER R2500 EVERY MONTH TO MEDSHIELD AND YESTERDAY I WAS LEFT DESTITUTE I HAVE FAILED MYSELF WHATS THE POINT OF HAVING THIS MEDICAL AID IF ANYTHING HAPPENS TO ME YOU ARE TO BLAME.