scandalous claim payouts

<p>Rehna Rampersad</p> <p> </p> <p> </p> <p>so i recieved feed back on the claims that i queried and i was surprised to be informed that the claim will be reworked and paid accordingly i ask my self had i not brought this up whould they rectify the matter thus bringing me to the fact that a lady recenly posted a query with a similar problem i wonder if she had been assisted appropriately. then i ask how many other people who were not able to report this were robed of ther medical savings. i further urge medshield to contact me regarding a claim for DR colyn that was also paid out of day to day benefits secondly blood work that was listed under medical managment protocol was also paid from day to day and my grand monther is on wafarin register for thrombosis and dvt this means that she needs to test her inr blood cout regulary medshield was paying these claims from day to day. </p> <p> </p> <p>now i would like to make my self heard that my mother is a member of DISCOVERY HEALTH KEYCARE PLUS OPTION the lowest option that most people look at disgrace but to your surprise they follow the ethics regarding pmb condition she is registered for the same coditions as my grandmother hypertension anemia hyperlempediamia cardiomaphty and pulmonary embolism going for the same blood test for inr montoring and discovery has registered these conditions and giving her a basket of care for each conditton consisting of medication pathology radiology specialist visits all paid directly from pmb benefit. </p> <p>she visited the same doctor Dr GJ VESAGIE AND DR HJR COLYN THEY AND THEY HAVE GIVEN HER 15 INR BLOOD TEST FOR THE YEAR WE NEVER PAID A CENT FOR THE ABOVE TREATMENT NOT CLAIM HASSLE NO CO PAYMENT NO HUNDRED REQUEST FOR BLOOD WORK AND RPORTS TO HAVE THE MEDICATION APPROVED. </p> <p> </p> <p>LASTLY AND VERY IMPORTANTLY AS STATED BY THE COUNCIL FOR MEDICAL SCHEMES </p> <p>HAVING MEMBER PAY FOR PMB LEVEL OF TREATMENT FROM THERE DAY TO DAY SAVINGS ACCOUNT IS CLEARLY A CONTREVENTION OF THE MEDICAL SCHEMES ACT. YOU CAN VIEW THIS ON THERE WEBSITE </p> <p> </p> <p>I THUS TRULY TRUST THAT OUR DAY TO DAY BENEFITS WILL BE REPLENISHED TO IT ORIGINAL AMOUNT AS ALL THE CLAIMES BESIDE A FEW FOR MEDICATION IS ALL ENTITLED FOR PMB FUNDING . </p> <p>IT IS A PITY THAT MEDSHIELD DOES NOT EXPLAIN TO THE MEMBER WHY WAS DR VISAGIES AND DR FICHARDTS CLAIMS WRONGFULLY PAID.</p> <p> </p> <p>WITH REGARDS TO SPECIALISED DENTISTRY THE PATIENT IS ON THE VERGE OF SOCIETAL WITHDRAWAL AND DEPRESSION BASED ON THE FACT THE MEDSHIELD MISLED AND FALSELY ADVISED MEMBER ON THERE BENEFIT GUIDE WHICH IS THE ONLY DOCUMENT SENT TO THE MEMBER EVERY YEAR. THE COUNCIL FOR MEDICAL SCHEMES STATES THAT A MEDICAL AID MAY ACCEPT A MEMBER OF ANY AGE HOWEVER ONCE ACCCCEPTED MEDSHIELD IMPOSES AGE LIMITS ON CERTAIN TREATMENTS YET THE MEMBER PAYS FOR THE FULL BOUQET OF BENEFITS AS A MEMBER I AM ENTITLED TO R10000 SPECIALED DENTISTRY WHY CANT I USE IT FURTHER</p> <p> </p> <p>I AM NOT DONE THERE WILL BE MORE QUERIES TO FOLLOW I THINK THIS IS ENOUGH FOR NOW </p>