Absolutely Disgusted

<p>Asked Fedhealth to advise a good package for pregnancy/ birth long before planning a child, they recommended stay on the current one, Maxima Std, ["Comprehensive and perfect for young families..."]. Now my expectation was therefore that a fair portion of the costs would be covered for a regular birth, at a regular hospital (Fourways Life) by a regular ObGyn (Fourways Medical Centre). </p> <p> </p> <p>Only 24% of the ObGyn bill was paid, with a R12531 shortfall. [On a telephone query they advised this was a clerical error and the full amount was to be paid, but then knew nothing of this advice]. </p> <p> </p> <p>Only 34% of the Paed bill was paid, with a R3070 shortfall.</p> <p> </p> <p>A R5333 shortfall on the hospital account was a claim error between the hospital and the scheme, which I had to query and resolve myself, otherwise I would have had to pay it blindly. </p> <p> </p> <p>In-Hospital audiology checks, we paid R370 and were refunded R0. </p> <p> </p> <p>On first purchase of medication for our new child, we were advised funds were used up. </p> <p> </p> <p>For a recommended package, I find this disgusting and shameful. Furthermore I am not able to speak to anyone with any clout. Telephone operators only, and wont transfer up the chain.</p> <p> </p> <p>I have asked for 4 simple amounts wrt this account for the last calendar year, but just get sent reams of statements. These reams are littered with phrases 'O82.0 Delivery by elective caesarian section', when it has been very clear that this was due to gestational diabetes and pre-eclampsia risk.</p>