1 reviews | Active since Nov 2016
Reviewing of Co-Payments
I had a request to Medshield, directly emailed to the Operational Manager, Mr Richard Pea**** on 22 July 2019 in respect of having the Scheme review the co-payment on the Gastroscopy done 1 July 2019.( No reference number provided to me) I was admitted to Montana Hospital in Pretoria being sick and weak and put on a drip. The specialist decided to do a G-Scope as infection was found in my blood. I have emailed histology reports to Mr Pea**** 30 July 2019 and to date no further feedback received. Did few follow up emails and still no response.
I understand co-payments for G-Scopes and Colonoscopies,but in my case I was admitted as I was rrally sick and with the colonoscopy done 12/8/2019 a Grade4 internal haemorrhoids also had to be removed. Surely the Scheme can look at each case differently?? Why must I email a dispute to relook at the co-payments and not receiving any further response, not even a response to ask to maybe address it with the Fund Manager or Principal Officer.
I really hope Medshield will now look into my enquiry and provide me with positive feedback.
My member number is ***
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
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
Please be advised that your request has been sent to the medical advisor for review .However, the treatment has been considered as a non-pmb .
As a result the co-payment will remain applicable as per scheme rule.
We trust you find the above in order.
Yours sincerely,
Medshield
Please be advised that your request has been sent to the medical advisor for review .However, the treatment has been considered as a non-pmb .
As a result the co-payment will remain applicable as per scheme rule.
We trust you find the above in order.
Yours sincerely,
Medshield
