1 reviews | Active since Oct 2016
STILL WAITING FOR AUTHORISATION NO RESPONSE!!!!!
<p>I am still waiting for an authorisation for an operation that was scheduled for monday, since friday that my daughter has to do. I am being told that since her surgery is not for a CHRONIC pain it cant be done. This is an ACUTE pain, it prevents her from working effectively and also doing daily c****s because she is constant pain and relies on aspirin to function. I have been a loyal member for over 10 years and this is what i get for paying my money to get the services me and my daughter deserve.</p> <p>I would not recommend this medical aid to anyone because i am not taken seriously. My daughter has to die before you can realise that this is something serious. i pay every month so that if my daughter and i need medical assistance we can get quality assistance. I am not surprised i was turned away from mediclinic because they do not accept this medical aid, now i understand why. </p>
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 within 5 working days.
Yours sincerely,
Medshield
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 within 5 working days.
Yours sincerely,
Medshield
Good day Mrs Phalatse,
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:
With reference to the said hospital authorisation, the Scheme received the pre authorisation request on 17/10/2016 which was pended for a non-disclosure process that needed to be followed.
For any members that have joined the Scheme within the last 12 months, a non-disclosure process is followed. This is a standard process for all authorisation requests for members that are on the Scheme for less than a year. An investigation into a non- disclosure does not imply that your authorisation will be declined.
Please note we are still waiting for feedback from one of the treating providers. A follow up was made to them yesterday. Once we receive the requested information can the authorisation be reviewed.
On behalf of the Scheme, we would like to unreservedly convey our apologies to you for any frustration and inconvenience that you might have experienced as a result of the poor handling of your enquiry. We would further like to provide you with the assurance of Medshield’s commitment to improved service delivery as you as the member is an important partner to our Scheme.
Yours sincerely,
Karin Binstead
Medshield Medical Scheme
Good day Mrs Phalatse,
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:
With reference to the said hospital authorisation, the Scheme received the pre authorisation request on 17/10/2016 which was pended for a non-disclosure process that needed to be followed.
For any members that have joined the Scheme within the last 12 months, a non-disclosure process is followed. This is a standard process for all authorisation requests for members that are on the Scheme for less than a year. An investigation into a non- disclosure does not imply that your authorisation will be declined.
Please note we are still waiting for feedback from one of the treating providers. A follow up was made to them yesterday. Once we receive the requested information can the authorisation be reviewed.
On behalf of the Scheme, we would like to unreservedly convey our apologies to you for any frustration and inconvenience that you might have experienced as a result of the poor handling of your enquiry. We would further like to provide you with the assurance of Medshield’s commitment to improved service delivery as you as the member is an important partner to our Scheme.
Yours sincerely,
Karin Binstead
Medshield Medical Scheme