PENNY WISE BUT POUND FOOLISH

Well Medshield never disappoint. My wife is a member of Medshield for 11 years now and since 2012 (9 years) she is using Topalex 50mg and Topalex 100mg as chronic medication. Beginning every year we complete and submit PMB application forms for approval of medication etc. and this year was the same. Since January there was no co payments as everything was approved but now in June Medshield decided that they are not going to pay Topalex 50mg & 100mg in full they rather state " PLEASE ASK FOR A LESS EXPENSIVE GENERIC EQUIVALENT TO AVOID CO-PAY. I spoke to a consultant at Mediscor and as i understand its due to more different generic medication being available. Now you want the doctor to give further motivation as to why my wife is using Topalex. This medication was approved under PMB in the beginning of the year. I just want to mention to Medshield that each time a person request a motivation letter from a doctor you have to pay for it, meaning it come's from the day to day limit. Due to Medshield's constant "PENNY WISE, POUND FOOLISH" attitude you are the cause of unnecessary expenses. You (Medshield) state that you do this so that the benefits last, THEN FOR CRYING OUT LOAD WHY AGAIN A MOTIVATION LETTER WHICH COST MONEY AGAIN FOR SOMETHING THAT IS ALREADY IN PLACE AND MEDSHIELD DECIDE'S AFTER HALF YEAT TO CHANGE. NOW MEDSHIELD IS WASTING MY WIFE'S DAY TO DAY BENEFITS. I see this as MEDSHIELD SAVE MONEY SO THAT THERE MEMBERS MUST PAY MORE.