H
Hlengiwe

1 reviews | Active since Jan 2024

12 Nov 2025, 10:42

Unreliable medshield!!

I will definitely be canceling my membership 😭😭my day to day funds I depleted and I call to enquire and I'm told I still have x2 Gp and x2 specialist visits outside of day to day benefits. I consult my Gp and the claim is rejected by Medshield and they say I didn't go to my nominated Gp. I dispute this as it's false, then they call me with a totally different explanation, now saying my Gp selected a ICD code which is a specialist ICD code so they won't pay. If calls are recorded they would know that the consultant I spoke to didn't tell me the terms and conditions of the extra 2 visits🙆😮now I'm liable to pay the GP due to their incompetence and not disclosing full information. Ukuth how ICD codes are the client's problem puzzles me. More so when you called to enquire and only get half information. I received 2 different explanations which shows that they were just trying very hard to reject this claim unfairly. It's been 3 years with medshield and this is definitely my que to look for an honest, reliable medical aid

0
Replies (2)
Medshield
Medshield's reply12 Nov 2025, 11:18
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 

Best regards,

Medshield
Medshield's reply12 Nov 2025, 15:00
Official
Good day   
  Medshield Medical Scheme has acknowledged your hello peter complaint and would like to thank you for bringing your concerns to our attention. Kindly be advised, your complaint has been reviewed and detailed response has been emailed to ***  We trust you find the above in order and sincerely do apologise for the delay. Yours sincerely,Medshield Medical Scheme

Best regards,