IK
Ilze K

1 reviews | Active since Jul 2010

19 Dec 2019, 10:05

Medsheild withholding information

I have been struggling for over a month to get information from Medsheild regarding claims that had to be resubmitted as my hospital authorisation only came after many of the claims were submitted owing to it being an emergency and Medsheild then wanting to prove a pre-existing condition which it wasn't in October 2019. They, to date, have been unable to provide me with the repeatedly requested information regarding 4 claims. I have now escalated my query twice and I am still waiting for feedback. Their withholding of information to me suggests that they do not have a valid reason for underpaying my claims. I am now regretting moving to their medical aid scheme earlier this year.

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Replies (2)
IK
Ilze K's update27 Dec 2019, 12:53
Reviewer Update
Medsheild messaged me privately messaged to say my "concerns have been prioritised and feedback will be provided within 5 working days"

Today is the 5th working day and still silence. In addition I have been emailing Medsheild's complaints department and they have not even acknowledged my emails. I have no chance but to contact the Ombudsman now.
IK
Ilze K's update30 Dec 2019, 14:56
Reviewer Update
Today is now the 6th working day since review and Medsheild's initial private response saying they would investigate and give me feedback in 5 working days. I am still waiting for this mythical feedback.