Medshield Medical Scheme Cape Town

Bad! I am actually regretting even being a member of this fund. Customer service is utterly useless. Email responds is non existent, when I call to follow up on my claim for the 8th day I'm told i just have to wait processing takes 7 days. When I asked the lady so this might take a month she said yes! So the 7 day processing" is just a saying.! Ref 1908227RZX0"

They are very slow, everything takes 5 working days. I completed OHPMB form for my condition and medication to be approved, after waiting 5 days I called back only to be told I sent it to the incorrect email address but I used the email address that it says on the form. Sent to a different email address, probably have to wait 5 days again.

Customer feedback is pure garbage. Asked a question, which I don't even think is complicated to the care center on the 14th of May... today is the 11th of June and I have yet to receive a response. All I get is weekly emails saying We are looking into your query.""

I would advise anyone thinking of joining this scheme to think twice before doing it. Recent and continued experience with this scheme and their network hospital they insist you go to is a joke. My dad had a mild stroke 3 weeks ago and trying to get authorisation through a doctor for an MRI for him took so long I had to pay cash for it and now try and claim back. At one stage they tried to authorize me for an MRI as I sent them my dads request via my email address to try and speed thing up clearly. I clearly stated it was for him but apparently they cant read instructions either. Eventually after a lot of correspondence complaints" mentioned this is not possible due to popia etc etc and it had to come from the members email address. So what if he was incapacitated due to the stroke and I didn't have access to his email address? Any emails sent to complaints were replied to with a generic copy and paste reply that offered no valuable information. Same story with the member email address. No personal reply.... nada. All I asked for was a direct line to a competent person not an automated system so that I could sort this out.On a personal note I'm still waiting for a reply to my email I sent 15 days ago ( yes 15 days ago!) regarding my wife that needs to go in for an operation where her specialists operate. When this was Oxygen we had far better service. Like I said if you are considering a scheme don't choose this one. The scheme plan I have is not exactly cheap and I still get told which hospital I need to go to. Better deals out there at the same price if not cheaper that don't tell you where to go. Yes they say if its an emergency just go to the hospital closest to you but from personal experience those hospitals try their hardest to order an ambulance and ship you off elsewhere. I've been with this scheme for 23 years but its time to move my family and parents somewhere else. No personal service and really slow responses that are quite frankly life threatening in an emergency situation.It's a day later now - so to add to above and their copy and paste fabricated "compassionate" response below. All they did was chuck me into the automated system again which could take beyond 5 working days. I could have done the same! Its been 16 days now for a response. Really poor form!"

Dear Medshield the months of July and August were terrible for us due to unexpected cardiovascular procedures for my husband. The quick and professional manner in which our claims were paid made this traumatic experience manageable thank you very very much.HOWEVER PLEASE change your dental managed care service provider denis, they are giving Medshield a bad name due to untrained staff bad communication and a terrible administrative process. They score one star if there was a no star that would have been my ratingkind regards

It's been 2 days of being sent in circles by trying to obtain a Referral number" in order to see a specialist as client services doesn't offer the option on their menu and the consultants are unable to shed any light on the matter."

Dear Medshield, some months ago I posted comment on Facebook how good a medical aid I think you are. But now i am changing my mind rapidly due to the service center and the run around that is given.Oncology authority was given and claims were rejected because of a medicine number that was eventually corrected but still not paid and treatment was stopped by oncologist.The famous answer from the call center I will escalate the query and that will take 7 days. then you get a mail that says the claim is rejected because there is no authorization or the code is incorrect.Please get someone to take things serious."

Every interaction with their website or customer support will make you regret becoming a member.Plan benefits are maliciously vague. Specialised dentistry (wisdom teeth removal) is covered by Medphila plan (with authorisation), but not the consultation to see the specialist (even if you have a referral). Make it make sense please.

Wondeful service received from Medshield, kind, professional, helpful call centre agents, my claims were paid in the time I expected and the amounts explained to me. In this terrible year of 2020 its good to know there are still companies you can rely on for good service.