NH
Nyeleti H

1 reviews | Active since May 2018

06 Dec 2023, 13:59

Non payment of claims

I am beyond frustrated with this Medical aid. They approved a hospital procedure promising to pay. They only paid some of the money and now for the doctor performing the operation and left out a huge amount of money which I am expected to pay. I had to have a few procedures done by different doctors(experts in the different fields) they won't pay the full amount for any of the procedures. Sometimes I wonder what I am paying for. It is the worst medical aid when it comes to payment of claims and medication. They do everything in their power to avoid payment. They are the worst. Ok have to fight with them fist in order for them to pay for anything except GP visits.

0
Replies (2)
Medshield
Medshield's reply06 Dec 2023, 16:27
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
NH
Nyeleti H's update04 Jan 2024, 04:44
Reviewer Update
They finally paid the full hospital bill and all other service providers involved. Medication is still a problem cause they still don't pay for a lot, but I'm happy about the hospital and doctors bills being paid in full.

Thank you Medshield