1 reviews | Active since May 2016

11 Dec 2019, 17:57

Power of positive thinking

On the 11th of November I called Medshield for Auth numbers for me and my two dependents to consult our GP, as per the Scheme rules specific to my option. The Auth number was provided but the claim was later rejected, which Medshield admitted this was done in error. I then had to pay the doctor cash and after numerous calls and emails to follow up on whether the claims would be reproccsed or I would be reimbursed, the best part was when I was informed by Medshield agent Cedricon a call I made on 05/12/2019, of the following: 1. I have a an attitude problem( for complaining about the error and inconvience it caused me) and I should read a book on the power of positive thinking. 2. That he is a senior agent (when I was concerned about how many other people had probably had their claims rejected incorrectly and were not aware) and I was the first person to complain about him and others who had previously failed to assist me 3. He ended the conversation spectacularly by telling me to feel free to give him a zero.

I am horrified at the service I received from Medshield and still amazed that I only received confirmation that the claims have been reprossed a month later (11/12/2019), after I made the follow up call of course

I can't help but wonder if I got this treatment because I am on a "low cost" option and I am clearly not a priority, but thank you Medshield. :-(

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Replies (1)
's update18 Dec 2019, 21:22
Reviewer Update
I have not received a reply on my email. Furthermore, the doctor refused to reimburse me because he does not trust that the claims will not be reversed again "in error".