1 reviews | Active since May 2018
Pathetic service with pre-authorization
I have to go for an operation in my hand, I went to the specialist, they booked my surgery, I did everything I had to do just to receive an email to say my authorisation is "pending" or put on hold. Phoned the call centre to find out what is going on to just get a rude response that didn't`t even answer my question. I emailed a few people to and only ONE responded to my email stating they are waiting for a letter from both my doctors. Why both the doctors???? Why would a general GP know how to assist with what I need for my operation??? Only a specialist can tell you this??? I am disgusted by this lack of service and how they treat their clients. I mean there is already co-payments with the specialist as I was informed the day I booked the surgery.
Reading all the reviews I am actually regretting to even join this medical aid. My mom NEVER has an issue with her medical aid. Why pay so much, but when it comes to them having to pay something especially hospital bills there is always a problem. So I must just walk with this terrible pain and wait till they approve or reject my surgery??? Seems like they do it with a lot of people not wanting them to be hospitalized. To think I went form a bad to even worse medical aid.
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
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
Good day
With reference to your Hello Peter Complaint received on the 26/05/2018
Upon the investigation we can advise as follow:
With reference to the authorisation request for admission date 18/06/2018 for dependant 00 Alice Dawn.
It should be noted, upon receipt of this authorisation request, it was pended for a non-disclosure process that needs to be followed. It should be noted, for any member/s that have joined the Scheme within the last 12 months, a non-disclosure process is followed. This is a standard process for all authorisation requests for members that are on the Scheme for less than a year. An investigation into a non-disclosure does not imply that your authorisation will be declined.
However ,we have liaised with our hospital benefit management, Medical Services Organisation (MSO) and they confirmed that they had contacted you to advise that the authorization has been approved.
Yours sincerely,
Medshield
Good day
With reference to your Hello Peter Complaint received on the 26/05/2018
Upon the investigation we can advise as follow:
With reference to the authorisation request for admission date 18/06/2018 for dependant 00 Alice Dawn.
It should be noted, upon receipt of this authorisation request, it was pended for a non-disclosure process that needs to be followed. It should be noted, for any member/s that have joined the Scheme within the last 12 months, a non-disclosure process is followed. This is a standard process for all authorisation requests for members that are on the Scheme for less than a year. An investigation into a non-disclosure does not imply that your authorisation will be declined.
However ,we have liaised with our hospital benefit management, Medical Services Organisation (MSO) and they confirmed that they had contacted you to advise that the authorization has been approved.
Yours sincerely,
Medshield
Good day
Thank you for your encouraging message.
Our aim is to provide excellent customer service at all times and your feedback is an opportunity for us to measure our service and delivery to you.
We appreciate you taking the time to comment and are glad that you are happy with the service you received.
Yours sincerely,
Medshield Medical Scheme
Good day
Thank you for your encouraging message.
Our aim is to provide excellent customer service at all times and your feedback is an opportunity for us to measure our service and delivery to you.
We appreciate you taking the time to comment and are glad that you are happy with the service you received.
Yours sincerely,
Medshield Medical Scheme