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Storm T

1 reviews | Active since May 2016

18 May 2016, 18:27

TERRIBLE SERVICE!! - TRYING TO GET CHRONIC MEDICATION

<p>I joined Medshield in March 2016, filliing in the application forms with all my medical history as one would informing Medshield of EVERYTHING! My application was approved with no waiting period, but as soon as i started sending my chronic forms with my prescription from my neurologist through thats when everything went wrong. I have Multiple Sclerosis (MS). one after another they rejected everything. i kept calling and they just wanted more information. they requested a motivational letter from my doctor WHICH I SENT THEM! but still they rejected it. my doctor called Medshields chronic department, still they said i do not need the medication as i have not relapsed in over a year but the reason for that is because I WAS ON THE MEDICATION! they still rejected it. i called them after that and they said i do not meet the requirements as for the same reason, i do not meet the requirements, I havent relapsed in over a year. i also then explained to this woman its because of the medicine, its not like the normal flu where when you feel better your stop taking medicine. if i should relapse then they will pay for everything! i have to now fight this, i ask to speak to someone who understands the condition and not to someone that just reads what is written on their dam screen! I WANT TO KNOW WHO DECIDES WHO CAN TAKE THE MEDICATION AND WHO CANNOT, IT IS NOT OUR FAULT WHEN WE ARE DIAGNOSED WITH CHRONIC ILLNESSES AND HAVE TO LIVE WITH IT AND YET MEDICAL AIDS ARE LIABLE BY LAW TO COVER THE COSTS BECAUSE ITS ON THE LIST OF 26 ILLNESSES BUT THEY WILL REFUSE BY ANY MEANS NECESSARY! VOTED ONE OF THE TOP 5 MEDICAL AIDS IN SOUTH AFRICA, I DONT THINK SO!</p>

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Replies (4)
Medshield
Medshield's reply19 May 2016, 04:56
Official

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

Medshield
Medshield's reply23 May 2016, 09:09
Official

Good day

With reference to your complaint, kindly note, it was escalated to Chronic Medicine Management (CMM) for further review. I can confirm a CMM consultant has been in contact with yourself. Should you require further information kindly contact CMM on *** alternatively you may contact the scheme on ***.

Your sincerely,

Rehna Perumal

Medshield Medical Scheme

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Storm T's update30 May 2016, 05:59
Reviewer Update
AMAZING!!!!!!!!!! Medshield acknowledges my complaint. Medshield states that they will be in contact. Medshield gets someone to call me AND tell me that I must state I acknowledge the phonecall. BUT Medshield does NOTHING to rectify the situation! Medshield does NOTHING to actually rectify or amend the complaint in any way! I HAVE TO CALL THEM TO FIX/FIGHT(AGAIN) argue with them about the same dam thing again! fair enough it was escalated to the Chronic Medicine Management who by the way has not contacted me AT ALL! last time i asked to speak to a doctor who knows about the condition, No its only pharmacists which would apparently tell me the same story, people sitting behind desks and in front off computers reading scripts off screens which they know NOTHING of! absolutely ridiculous! send medshield an email and you have to wait 5 WORKING days for a response. Call them, they take forever to answer, not that they can help you anyway. look how long this has taken me!!!!!!!!!!!!!!!!1
Medshield
Medshield's reply02 Jun 2016, 12:27
Official

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

I can confirm that a representative from Chronic medicine management (CMM) has been in contact with yourself regarding the funding request for your Chronic medication

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 are an important partner to our Scheme.