LL
Lizette L

1 reviews | Active since Oct 2012

06 May 2021, 10:03

Any excuse not to pay claims

And YET AGAIN Fedhealth fails to pay a visit with my nominated Network GP. First your excuse was that I had not nominated a GP. FALSE, you lost the nomination! Then I get you to correct this mistake, and you STILL don't pay the claim, this time your excuse is: "Claim above was not paid due to PMB claim not permitted to be reimbursed from Savings-amount rejected. According to your PMB treatment protocol the 1 PMB consultation that was allocated has been used."

Again: FALSE! This was a visit with my nominated network GP. According to FedHealths 2021 benefit statement brochure I am entitled to UNLIMITED visits at a contracted nominated GP.

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Replies (2)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply06 May 2021, 10:08
Official
Dear Member, thank you so much for your message, we are sorry you’re having such a bad experience, please bear with us while we do some investigating.  One of our consultants will be in touch with you as soon as we have a result. 

Best Wishes

Fedhealth

Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply18 Jun 2021, 08:21
Official
Dear Member, a consultant has tried contacting you and was unsuccessful, however an email has been sent to you. 
 
Best Wishes

 Fedhealth