ML
Magdalena L

1 reviews | Active since Mar 2024

21 Mar 2024, 14:41

Pensioner - Authorization for urgent procedure being rejected constantly.

My experience with medshield is worse than terrible!!!

I am a pensioner and have been on this medical aid for around 5 months, recently I have been experiencing extreme pain on my left side of my abdomen, my GP referred me to a spesialist, they refused to pay the GP and the spesialist, thus far they have just been rejecting all my claims, The specialist is very concerned about my left side of my adbomen, he said there is a rather large mass, that he needs to operate and do a biopsy, sooner than later, however I have tried all avenues with the medical aid to get authorization for this urgent procedure to no avail, they keep sending me from pillar to post, they refuse to give authorization for the CT scan that the spesialist needs to determine how big and exactly where this mass is. I am just getting no where with the medical aid in assistance to authorize the CT or the hospitization, my Dr's have submitted all the required documents that they keep asking for, but they still refusing authorization. This is terrible service, and I am living with so much pain and discomfort, and constantly having to struggle trying to get authorization and constantly getting rejected.

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Replies (2)
Medshield
Medshield's reply22 Mar 2024, 07:41
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 urgently .
 
 Yours sincerely,
 Medshield
Medshield
Medshield's reply26 Mar 2024, 11:29
Official
Good day

Medshield Medical Scheme received your complaint and would like to thank you for bringing your concerns to our attention.

Kindly be advised that your complaint has been reviewed and a response has been forwarded to your email.

Yours sincerely

Medshield