Medshield Medical Scheme Cape Town

Medical group

😠 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 ye... People often mention days, service, email, Medshield, address,


Address

Block D, Podium Level, Searle St, Woodstock, Cape Town, 7925, South Africa

Website

www.medshield.co.za

Contact

+27 860 002 120

Rating on Google Maps

1.90 (35 reviews)

Open on Google Maps

Working Hours

  • Wednesday: 8:15 am to 4:30 pm
  • Thursday: 8:15 am to 4:30 pm
  • Friday: 8:30 am to 4:30 pm
  • Saturday: (Day of Reconciliation), Closed, Hours might differ
  • Sunday: Closed
  • Monday: 8:15 am to 4:30 pm
  • Tuesday: 8:15 am to 4:30 pm

Featured Reviews


Frequently mentioned in reviews: days (10) service (9) email (8) Medshield (8) address (7)
Reviews are sorted by relevance, prioritizing the most helpful and insightful feedback at the top for easier reference.
  • 1/5 bernard j. 1 year ago on Google
    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
    3 people found this review helpful 👍

  • 1/5 Matthias L. 2 years ago on Google
    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.
    2 people found this review helpful 👍

  • 1/5 Mitchell T. 3 years ago on Google
    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.
    2 people found this review helpful 👍

  • 1/5 Linda B. 1 year ago on Google
    After the shock that I was diagnosed with Breast Cancer and had to have a Mastectomy. I now have the problem with Medshield to pay for my Prosthesis, after submitting the Quote from a reputable company it is one excuse to another regarding Codes nobody can assist and it is emails and phone calls.I give up and the next step is to contact my attorney. The Trauma to get this sorted is worse than having the mastectomy Done😡😡 55200616201 4 Days later and still no reply???
    2 people found this review helpful 👍

  • 1/5 O'Neil S. 3 years ago on Google
    Possible the worst customer service I have ever had. Basic meds and Doc visits are fine, but I have not been able to get ANYTHING pre-authorised and have not been able to claim back on services I have paid for out of pockets. This times I have managed to get to someone to speak to, it has been Optivest, who tell me I am through to the wrong department or try to get me to join Medshield. I do however think it is fair to give the 1 start for covering the occasional doctors visits and medications prescribed. Good job on meeting the minimal expectations.
    1 person found this review helpful 👍

  • 1/5 Terri C. 3 years ago on Google
    Declined authorisation for procedure my daughter requires. They will only pay if it is done in Drs rooms. Dr has motivated with photographs, scans and a letter that general anaesthetic in theatre is the safest and only way to manage this case due to the complicated nature of the surgery. They will not budge. Having the procedure done in Drs rooms poses significant risks to my daughter which Medshield will cover but I am not prepared to take. Been a client for probably 8 years or more and never needed them until now and now they wont pay.
    1 person found this review helpful 👍

  • 3/5 Phillip M. 9 months ago on Google
    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. 30 June 2023 And to add to all the problems, still no decent answer, with no treatment happening...
    1 person found this review helpful 👍

  • 1/5 Leonie van A. 1 year ago on Google
    This is the worst Medical Aid. The patie t is in icu fighting for her life anx the medical aid does not cover the test the dr needs to do. How??? Shes not there for plastic surgery....shes fighti g for her LIFE. in ICU. In the Network Hospital as per Medshield requirements. I will NEVER recomend this mexial aid to anybody.
    1 person found this review helpful 👍

  • 1/5 Bronwyn K. 8 months ago on Google
    I have been trying to resolve a claim for over two months to no avail. My broker and I are given conflicting information every time we call. Yes, we have to call as no one bothers to communicate with us. I moved to this medical aid last year and now regret it. I suspect that “stonewalling” is part of their training program. I’ll be moving on.

  • 1/5 Grant P. 10 months ago on Google
    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."

  • 1/5 LTME 1 year ago on Google
    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!

  • 5/5 Thelma H. 1 year ago on Google
    Thanks to Sibongile for excellent service, keep up the good work you made us very happy, may you be blessed.

  • 5/5 Helena K. 1 year ago on Google
    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 rating kind regards

  • 1/5 Carole D. 3 years ago on Google
    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.

  • 1/5 Lizaan F. 2 years ago on Google
    I have been trying to get feedback on multiple queries for months now. Without a proper response to my emails.

  • 5/5 Charmaine H. 3 years ago on Google
    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.

  • 1/5 Trudy P. 2 years ago on Google
    Poor poor poor. No response on emails. Today they are closed countrywide due to a corporate event!!


Call +27 860 002 120 Open on Google Maps

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