KM
Kylie M

1 reviews | Active since Feb 2023

26 Feb 2025, 13:56

Auth not paid

How disappointing! I have been a member of FedHealth on and off for about three years. I was hospitalized for one night in July 2024, and FedHealth authorized my procedure and stay at the hospital. I also provided proof of payments for my coverage for that month and the previous month.

However, to my surprise, I received a distressing email from Life Vincent Hospital with an invoice for the full operation and my hospital stay, stating that FedHealth had not paid my claim. Why is this happening? I was covered under the FlexiFed2 plan, and the hospital was in my network. Authorization was given, and payment for my coverage was received.

I emailed FedHealth two months ago but have not received a reply. I have followed up numerous times over the phone, and my concerns have been escalated continuously, yet I still have no answers. For the past three weeks, I have felt completely ignored.

I want this resolved, FedHealth. Enough is enough!

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Replies (2)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply26 Feb 2025, 14:13
Official
Dear Member, Thank you for submitting your feedback to us, we are sorry to hear about your experience. One of our consultants is already attending to your request and will respond to you shortly.  Best wishes,Fedhealth    

KM
Kylie M's update26 Feb 2025, 14:15
Reviewer Update
I will have to see that because I hear that all the time! I want it sorted today or refund my installments!