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Rodney L
1 reviews | Active since Feb 2020
23 Aug 2022, 05:19
Medshield - Not living up to their value of looking after their customers
I want to warn any person considering joining Medshield to reconsider or do your homework properly. I am in my first year with Medshield and in June 2022 in had to undergo an emergency stent placement for kidney stones. I initially had no problem at the treating hospital on the day of the procedure. My troubles started straight after that. Medshield declined to pay for the procedure. They stated that as it was my first year the underwriters had to investigate if i was truthfull on my application. I had no problem with this as i know i was truthfull. Two weeks ago i received a written approval for a further procedure i need to undergo on the 26th Aug. everything booked with my Urologist and then this past Friday we received a decline letter for a procedure they approved. There reason is they made a mistake, as the procedure should never been approved as it is not part of my plan. Medshield themselves wont telephonically talk to you personally and make use of consultants to convey such messages telephonically to you. Medshield has no regard for your health or safety. I am not an unreasonable person but Medshield are not honest and open with their clients. I will be lodging a formal complaint with the council for medical schemes today but i would also like to see if we cant get as many customers together who have been done in by Medshield and consider lodging a class action law suit against Medshield. Reading through the complaints on Hellopeter.com it is clear to me that all the complaints are of a similar nature and Medshield is not living up to their promises to their clients.
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Replies (4)RL
Rodney L's updateReviewer Update
25 Aug 2022, 04:50As expected Medshield acknowledges the complaint for a second time and state they will provide feedback on completion of their investigation into my complaint. Very cleverly they don't state a time line for feedback. This has been going on for more than 2 months and they have already made a decision which I don't agree with. So what is there to investigate. Pick up the phone and contact me so that i can challenge you on your decision you have made. I am tired of writing emails and laying written complaints but no one at Medshield will pick up the phone and phone their customer. I believe this is a delay tactic as they fully aware of my medical situation and this procedure can no longer be delayed. to add insult to injury i get proactive emails telling me that my monthly fees will be deducted timeously.
RL
Rodney L's update25 Aug 2022, 04:50
Reviewer Update
As expected Medshield acknowledges the complaint for a second time and state they will provide feedback on completion of their investigation into my complaint. Very cleverly they don't state a time line for feedback. This has been going on for more than 2 months and they have already made a decision which I don't agree with. So what is there to investigate. Pick up the phone and contact me so that i can challenge you on your decision you have made. I am tired of writing emails and laying written complaints but no one at Medshield will pick up the phone and phone their customer. I believe this is a delay tactic as they fully aware of my medical situation and this procedure can no longer be delayed. to add insult to injury i get proactive emails telling me that my monthly fees will be deducted timeously.
RL
Rodney L's updateReviewer Update
25 Aug 2022, 12:06Medshield is really living up to value of messing their customers around. I finally received a phone call from Masedi Pladi who informed me that the package i am on does not cover my procedure. this was never highlighted to me by the consultant at the time of my application. I then challenged her, as to the reason why did they then send a authorisation letter approving the procedure and then a week later they declined the procedure. She cant answer the question and insists on putting me through to the hospital authorisation department. I then requested that she ask the authorisation department to email me as I want written proof of our discussion. She insisted that she will put me through to them. When she transferred the call it took me to the main call page of Medshield. once again no assistance.
RL
Rodney L's update25 Aug 2022, 12:06
Reviewer Update
Medshield is really living up to value of messing their customers around. I finally received a phone call from Masedi Pladi who informed me that the package i am on does not cover my procedure. this was never highlighted to me by the consultant at the time of my application. I then challenged her, as to the reason why did they then send a authorisation letter approving the procedure and then a week later they declined the procedure. She cant answer the question and insists on putting me through to the hospital authorisation department. I then requested that she ask the authorisation department to email me as I want written proof of our discussion. She insisted that she will put me through to them. When she transferred the call it took me to the main call page of Medshield. once again no assistance.
RL
Rodney L's updateReviewer Update
11 Sept 2022, 17:03Well no surprise. I received a call from a consultant. she just blatantly states i am not covered. When i challenged her to the fact that they gave authorisation in writing she stated that she cant answer that question and i must talk to hospital authorisation. She quickly transfers the call and to no surprise the call does not get answered. Once again a month later and still no valued service to their customers. Thank God i learnt this before i really needed a medical aid in case of an emergency. I am sure Discovery will provide a better service. Medshield can keep my money as it is obvious that they needed it more than me. I will spend the rest of my days on public platforms warning honest people against companies like Medshield. And if you don't believe the mislead way they promote their products, just go on Facebook at look at their ad. Medshield ranking on Hellopeter.com is testimony to business plan that they use to get money in and no care for their customers.
RL
Rodney L's update11 Sept 2022, 17:03
Reviewer Update
Well no surprise. I received a call from a consultant. she just blatantly states i am not covered. When i challenged her to the fact that they gave authorisation in writing she stated that she cant answer that question and i must talk to hospital authorisation. She quickly transfers the call and to no surprise the call does not get answered. Once again a month later and still no valued service to their customers. Thank God i learnt this before i really needed a medical aid in case of an emergency. I am sure Discovery will provide a better service. Medshield can keep my money as it is obvious that they needed it more than me. I will spend the rest of my days on public platforms warning honest people against companies like Medshield. And if you don't believe the mislead way they promote their products, just go on Facebook at look at their ad. Medshield ranking on Hellopeter.com is testimony to business plan that they use to get money in and no care for their customers.
Medshield's replyOfficial
07 Oct 2022, 10:43Good day Member
Medshield Medical Scheme has acknowledged your complaint and would like to thank you for bringing your concerns to our attention.
Kindly note as discussed telephonically , our Broker and Hospital authorisation department consultants confirmed to have been in contact with you to advise on the procedure not covered on the Mediphila option .
We trust you find the above in order
Yours sincerely
Medshield medical scheme
Medshield's reply07 Oct 2022, 10:43
Official
Good day Member
Medshield Medical Scheme has acknowledged your complaint and would like to thank you for bringing your concerns to our attention.
Kindly note as discussed telephonically , our Broker and Hospital authorisation department consultants confirmed to have been in contact with you to advise on the procedure not covered on the Mediphila option .
We trust you find the above in order
Yours sincerely
Medshield medical scheme