Frustration with Prolonged Authorisation Process

Good day,

It has been over three weeks of ongoing back-and-forth with the medical aid in an attempt to secure authorisation for an appliance. During my initial call, I was advised to submit a motivational letter and a quotation, and I was informed that I have approximately R20K available annually for appliances.

The first quotation I submitted was around R1,600, but I was told the medical aid would only cover about R900. I then indicated that I was not willing to pay the difference and was asked to obtain a more affordable quote. I proceeded to submit a second quotation for just under R600, which was approved via email.

However, when I went to Dis-Chem, I was informed that Medshield had not issued the authorisation on their system and that I needed to follow up. Upon contacting Medshield, I was told that the pharmacy had processed the claim before authorisation was granted, and that a reversal needed to be completed, which would take 3–5 days.

Yesterday, I received another email confirming that the machine had been approved. I returned to Dis-Chem, only to be told once again that authorisation was still not in place.

I am extremely frustrated with this prolonged process, as it has now been three weeks of trying to resolve the matter.

References: 130526QL7ZJT 150526QLBX6V 080526QL0KG2 060526QKXLLY 170526QLF1RM 290426QJJR3D 050526QKV5FZ

Kindly urgently assist in this regard.