1 reviews | Active since Oct 2020
Medshield shocking service
I am very upset and unhappy with Medshield. We have been members for more than 20 years and have always received good service. However, the past year the COMMUNICATION has been shocking.
A year ago my own health took a really bad turn and I had several procedures done after suffering a TIA. I had endless troubles as the fund "approved" an operation with a co-payment of r 10000 and in the end I had to pay an additional R 40 000.
This year my son had a bad accident with his bicycle and i had a small procedure sone, both of which i had to make co payments to the hospital. Last month my daughter needed surgery to remove 8 teeth in order for her to have ortho work done. i was given a letter of authorisation, just to get hear afterwards that a total of 14 000 was not paid due to member benefits run out. I do not work for the medical aid - i am a single mom with three teenagers. are they not supposed to at least say - authosied but due to benefits that ran out you will need to pay in x amount? Is that not the decent thing to do? i have to loan from my kids savings to PAY MEDICAL BILLS, yet i pay R 6000 per month? for 12 years we barely touched the fund!
also - i sent various mails asking for assistance or feedback - to NO AVAIL - not even an email reply. Also medshield suddenly recently said they could not mail me as my mail address on the system was my deceased husband's (3 years now!).
i am really disgusted with the service received. Shocking communication. I hope this attracts some attention at least.
Also see part of one of my last emails to Medshield. still no reply two weeks later!! sent the below messages - asking for authorisation on a procedure. If I read this correctly it sound like it was covered - apart from the hospital surcharge that I agreed to.
- I sent communications re change of email address - it was not done - later when I phoned I was told they could not make the change as my (deceased) husband was the main member and I cannot change it - I phoned medshield who referred me to denis. - denis sent me the attached letter. I spoke to them on the phone as well. They simply said it was approved.
According to the letter I had to pay in R 3400. I was willing / able to pay this, but now you only paid R 5000 of R 13500? This was not communicated clearly! I could have had the operation done next year!
Please reply urgently.
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
Best regards,
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
Best regards,
With reference to your enquiry
Kindly note, the account for Dr Sarel Botha ***, dated 05/10/2020 has been processed correctly please refer to a detailed email send to your registered email address with the Scheme. We trust you find the above in order Yours sincerely Medshield
Best regards,
With reference to your enquiry
Kindly note, the account for Dr Sarel Botha ***, dated 05/10/2020 has been processed correctly please refer to a detailed email send to your registered email address with the Scheme. We trust you find the above in order Yours sincerely Medshield
Best regards,
