CD
Claude D

1 reviews | Active since Jan 2017

19 Jan 2023, 09:59

Medshield not honoring authorized hospital bill payments.

Medshield gave authorization for in hospital ops and did not pay the claimed amounts by the Dr's. For example, for UPPER G. I. ENDOSCOPY WITH HOSPITAL EQUIP, COLONOSCOPY WITH HOSPITAL EQUIP PP* c and REMOVAL OF POLYP PER POLYP PP* there was a shortfall of R3752 that I had to pay as DR's rooms plagued me with demands and credit listing. Medshield did not disclose that they give hospital Auth's but do not fulfill their responsibility to pay the bills for in hospital care. Medshield is also very quick to deduct any claim from savings and use the excuse that it is out of hospital treatment. I was referred to a Cardiologist by my GP and they refused to pay the cardiologist and I had to foot the bill. If you want medical aid, I suggest you stay away from Medshield!!

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Replies (2)
Medshield
Medshield's reply20 Jan 2023, 06:54
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 reply30 Jan 2023, 17:14
Official
Good day 

Kindly note, the Scheme has emailed you requesting the account details.

Please urgently provide these details in order for the Scheme to prioritize this investigation and to provide you with a prompt response. We await your prompt response.  Yours sincerely
Medshield Medical Scheme