dG
dirk G

1 reviews | Active since Aug 2016

26 Jun 2020, 10:54

Appalling service and necessity claims rejected...

I would like to Firstly say that i have Been a Fed health Medical Sheme holder for over 15 years and Have not claimed a single cent from fed health for the last 10 years...

I Have never Not Once spiked a Payment...

I Am Absolutely appalled at the service received this passed week...

I Visited Medi-cross East London as an emergency patient with a Possible Broken/Fractured Foot...

The Doctor then Examined and the Foot and requested X-rays they found that a Portion of the Bone had Fractured off

Under the Current circumstances in our Hospitals (Covid-19) the Doctor opted to rather Prescribe a Boot, If the Bone could Remain in position then he would not need to Operation if the Bone could fuse in Place...

So this Sounded like a Great Plan Wear the Boot Night and Day and avoid an operation and Covid-19 exposure...

This would say the Medical Aid Thousands of Funds as the cost of an Operation over the cost of the Boot and Crutches is a drastic difference...

so every where we went the Fed Health Medical Scheme was on their list so off i went with my boot and crutches...

I then get a sms that the Doctor visit was covered so i was AT THIS Time Glade to have a Fed Health Medical Scheme

BUT!!!!!!!!!!!

That is exactly what they are a Scheme to take your money every month for over 15 years... And Not Pay for Items required (That with out i would not be able to walk)

So I then Phoned to see what the reason is for not covering these items... i Explained to the Lady that without this Boot and Crutches, i would need an operation as i can not walk on the Broken foot. the Operation would cost thousands more than the Boot and Crutches.

It was at this time all i could get out of this operator was that these items are seen as an Appliance (Her Words)

and are only covered by the Savings in the Scheme....

So My Response was that for 10 years i have not claimed a single doctor visit or cent from this scheme i should have thousands of funds saved up by Now...

She Responded by saying i only have 300 Rand in the Fund...

I then said its impossible as i have not ever claimed for 10 years...

She then went on to say that my scheme had been changed over in 2019 and that the previous scheme had fallen away , so they changed their customers over automatically..

I Was Never Phoned about this, and i was never explains all the benefits or disadvantages of the scheme, i do not even have a new medical aid card for this new scheme.

so as far as i know Fed Health changed my medical Scheme over without my consent and also did not explain any of this funds criteria to me...

i Have lost all previous savings on the previous scheme and there Scheme is absolutely Pathetic R300 Rand savings Per Year and this does not even carry over... And Ladies and Gentlemen i am Paying over R2500 per Month for this S***.

I Asked to speak to a Manager

the Lady told me that her Team leader would Contact me Before that Following Monday, Well it is Currently Friday and i Have still Not Been Contacted By Any One...

All i receive are Massages saying everything is rejected....

So I Am Not Happy with Fed Health at All I Urge EVERY one that reads this to Not even Consider them...

There service is appalling and there care for the customer is absolutely Zero...

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Replies (2)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply06 Jul 2020, 08:53
Official
Thank you so much for your review we will be in touch shortly.

Kind Regards
The Fedhealth Online Team

Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply14 Jul 2020, 14:29
Official
A consultant has been in contact with you and detailed feedback has been provided. 

Kind Regards 
The Fedhealth Family