FB
FARHAAN B

1 reviews | Active since Jul 2016

04 Jun 2017, 23:11

pmb chronic benefits

<p>I AM DEEPLY DISAPPOINTED SO MEDSHIEILD HAS INFOMRMED ME THAT THE MEDICATIO FILE HAS BEEN SENT TO INTERPHARM I THINK THE PANEL WILL MAKE A RULEING ON THE MATTER HOWEVER WE ONLY GOT FEED BACK ON THE STATIN CHOLESTROL MEDICATION THIS AFTER WE HAVE REQUEST FUNDING FOR CLOPIWIN PLUS. THIS MEDICATION HAS BEEN PRECRIBED IN ACCRODANCE WITH THE CARDIOLOGY PROTOCOLS I HAVE SPOKEN TO VARIOUS CONSULTANTS ON THIS MEDICATION I HAVE ALSO UNDERSTOOD THE DECISION REGARDING THE HIGHER DOSAGE FOR STATIN MEDICATION SO I DONT KNOW WHY WAS THIS REASSED. THE MAIN FACTER IS THE CLOPIWIN PLUS WHICH I WAS INSTRUCTED IS IN THE REVIEW PROCESS. THE SCHEME IS SEND DRIPS AND DRABS OF INFORMATION THAT I NOT RELEVANT OR DOES NOT MAKE SENSE THERE IS CURRENTLY A CMS COMPLAINT ASWELL SO I DO NOT KNOW WERE I STAND AND THE AS THE PATIENT I AM NOT GETING MEDICATION THAT MY DOCTORS HAS PRECRIBED I UNDERSTAND THAT THE MEDICATION IS APPROVED FOR PAYMENT UNTIL OCT 2017 YES BUT WE A REQUESTING IT TO BE PAID AS PMB DUE TO THE DEPLETION OF BENEFITS. THE DRUG FALLS UNDER TREATMENT OF A PMB LEVEL CONDITION. </p> <p> </p> <p>MAYBE A PHONE WILL DO JUSTICE TO ME EXPALINATION AND FRUSTRATON </p> <p> </p> <p>I THINK MY LAST CALL WAS FRO LARISHA FROM THE CHRONIC DEPARTMENT. REGARDING CLOPIWIN AND IRVIN. </p> <p> </p> <p> </p>

0
Replies (5)
Medshield
Medshield's reply05 Jun 2017, 07:19
Official

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.

Medshield
Medshield's reply06 Jun 2017, 11:49
Official

Good day,

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

On receipt of the complaint referred to herein, the Scheme can confirm the following:

The Scheme’s decision regarding the funding of the said medication remains unchanged.

A detailed e-mail has been send to your registered e-mail address with the Scheme: ***

Should you have further enquiries kindly contact us on *** or email ***

Yours sincerely,

Karin Binstead

Medshield Medical Scheme

FB
FARHAAN B's update06 Jun 2017, 12:03
Reviewer Update

please call me to discuss the matter further

Medshield
Medshield's reply06 Jun 2017, 12:06
Official

Good day,

I can confirm that a representative of the Scheme's Chronic Medicine Management will be contacting yourself shortly.

Kind regards,

Karin Binstead

Medshield Medical Scheme

Medshield
Medshield's reply06 Jun 2017, 12:06
Official

Good day,

I can confirm that a representative of the Scheme's Chronic Medicine Management will be contacting yourself shortly.

Kind regards,

Karin Binstead

Medshield Medical Scheme