We are back with the same company and a similar complaint. Medshield did not pay for the main member's PMB pathology claim out of PMB funds - our acute funds are depleted. The reason they supply is that the doctor never submitted the ICD10 codes. We spoke to the accounts department: they did supply ...
We just received a phone call from someone by the name of Lesley telling us that our medical aid account is in arrears, and threatening us with ITC. Firstly, the main member terminated his employment with his company, and as a result the medical aid was terminated. Then his current employer tried ...
Good Day I can not accept the fact that you will not pay me out for my sons chronic visits to the doctor. As per attached Christian is allowed to 2 GP visits and 2 Neurologists visits in which case Dr Ranchod is both of them. Why must this be paid out of my day to day benefits! I urge you to ...
I had a car accident in Dec 2012. While in hospital, my medical aid claims were followed up by a friend. She has continued to do the follow up, so as to have continuity. We are having endless phone calls, reference numbers, requests to call back in 7 - 10 working days, followed then by another ref ...
I have been with Medshield for about 4 years or so. In April 2011 I was diagnosed with Multiple Sclerosis. I don't receive treatment for this condition as it's simply too expensive and Medical Aid doesn't cover it. I am a single mother and I pay R2454 per month for me and my 3 year old daughter to ...
We belong to this Medical Aid's Hospital plan for the past 9 years, but what a disappointment... I have to go for an Hysterectomy but according to the people that is given the authorisation this Medshield will only pay R24 000.00 for everything (Doctors, Hospital ect), this is due to the fact that ...