BM
Bre M

1 reviews | Active since Feb 2019

05 Feb 2025, 08:39

Worst Medical aid

The worst move I have made in life is by joining them my daughter went to Netcare where they referred me to go I did she got a Depo injection 1st time trying it before going to varsity incase she reacts, they are rejecting coz she has waiting period for her asthma coz I had to give the Dr the medical history for her as our GP is not with them they asked the Dr room to remove icd - 10 j45 and leave Z30. 9 which they did and still rejecting the claim from 12/10/2024 and for me my diabetes they asking for initial fasting results I have been diagnosed since 2010 and sent prove from my previous medical aid I regret leaving my Bonitas now I definitely believe the grass is not greener on the other side Medishield is the worst of them being in medical field also which dealt with DUR cases and PMB I'm so disappointed how they protocol review the existing conditions which is more than a decade all I can say please stay away from this scheme I really wanted to upgrade but ended up having my husband going to another scheme and adding my daughter then I'm dealing with them.

0
Replies (5)
Medshield
Medshield's reply05 Feb 2025, 11:12
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 urgently.
 
 
Yours sincerely,
 Medshield
BM
Bre M's update05 Feb 2025, 11:49
Reviewer Update
Thank you, for responding to be honest I thought you won't respond I sent in a statement to scheme then Themba said declined talking about asthma while the statement clearly shows z30. 9
BM
Bre M's update07 Feb 2025, 10:57
Reviewer Update
If they are any unclinical team is Medishield query department , Mpho from scheme insist that Depo provera is for asthma, please can guys refer to medical advisor or check MDR, it's a contraceptive injection, it has nothing to do with her asthma condition I'm transferred from pillar to post
Lord have mercy on all patient on this scheme
BM
Bre M's update07 Feb 2025, 13:09
Reviewer Update
Thank you I received the email, and thank Angelina for being a germ in that place who listened to me and escalated to Khanyi.

Angelina deserve star for listening so professional and humble and calm, I was so angry but after Angelina talk I smiled I just told my self they got an angel I was planning to leave I will stay coz atleast there is one of my father child very sympathetic, I was humbled by her skills, thank you.

Medshield
Medshield's reply10 Feb 2025, 10:05
Official
Good day
  
 Thank you for your encouraging message.
  
 Our aim is to provide excellent customer service at all times and your feedback is an opportunity for us to measure our service and delivery to you.
  
 We appreciate you taking the time to comment and are glad that you are happy with the service you received.
  
  Yours sincerely,
  Medshield Medical Scheme