waiting 3 weeks for PMB claim to be paid to SERVICE PROVIDER

1) On the 18th of June, 3 weeks ago I sent a claim via email to Medshield to pay to the provider. We have to date not heard back from Medshield. My dad a severe diabetic, 78 years of age, blind in one eye with partial sight in the other due to diabetic glaucoma, needs to have regular check ups at the ophthalmologist. These visits are PMB. The ophthalmologist has now decided that they will no longer be dealing with Medshield, and that the client must claim back or be liable for the money. My parents are old and on pension. We as their kids pay the medical aid. They cannot pay cash for their visits, so my parents took the invoice and asked me to claim it immediately so that the provider can be paid. Why has this not been sorted? Why did we have no feedback for 3 weeks? Has it been paid? It seems no providers are waiting to deal with Medshield anymore, as they have a bad reputation of not paying, as all the doctors that my parents are visiting are now being told to pay cash. Sort this PMB claim out, as I don't want my parents being harassed for money.

2) We pay over R8k per month for my parents, just two people. Yet they have endless problems when going to the pharmacy and seem to be always asked to pay co-payments for chronic medication on a premium plan!

3) Medshield pays all doctors R344 for a consult. Whether you are a GP or a specialist. This means we pay R8k a month and then ALWAYS have to pay for doctors consults too! A case in point, my dad saw a pain management specialist a few months ago, the bill came to R1800 and medshield paid R344!!! Not even GP's charge less than R500 today, but this is the disgusting amount that this scheme pays for specialists!!! You are committing highway ******* and cheating your clients. It's actually sad, that because my dad is so severely ill and mom is in cancer remission, we have no choice but to keep them on medical aid. As their children, we pay it through our love for our parents, and we make sacrifices within our own homes so we can do this. We are being cheated and taken advantage of. This is the South Africa we live in today and the calibre of service providers that we have. Disgusting.