AR
Anton R

1 reviews | Active since Jun 2012

14 Jun 2017, 10:01

Authorisation Revoked ONE DAY before procedure

<p>Good day,</p> <p>I am fairly upset with the fact that everything (two procedures) I already gained authorisation for is now pending.<br />Monday when I first spoke to one of your consultants, I received an authorisation number ( ********** 1) and all my procedures were approved.</p> <p>Yesterday (Tuesday), I phoned you guys again to establish what the R3700.00 excess is for. It was explained to me that I could do the Gastroscopy in the Doctor's room and the excess would fall away. It was also explained to me that the Gastroscopy will be taken of the Authorisation Number I already received and a new Authorisation Number will be generated for the Gastroscopy.</p> <p>I then agreed to this and was held on the call for more than 20 minutes. The consultant came back and informed me that this (both procedures) needs to go to the underwriter since I joined the medical scheme this year. Never in my life have I heard of such occurrences where I receive Authorisation for an Umbilical Hernia Repair and then the next day the Authorisation is revoked and the request is sent to the underwriters.</p> <p>My procedure is tomorrow (Thursday) and I now have to stress about my medical aid dropping the ball.</p> <p> </p> <p>Please get back to me ASAP. And not with your standard response of a consultant will contact you. I need answers!</p>

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Replies (4)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply14 Jun 2017, 10:45
Official

Thank you for your comment, we are currently investigating your query and will revert shortly.

Kind Regards
The Fedhealth Online Team

Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply14 Jun 2017, 10:45
Official

Thank you for your comment, we are currently investigating your query and will revert shortly.

Kind Regards
The Fedhealth Online Team

AR
Anton R's update14 Jun 2017, 11:09
Reviewer Update

Thank you. I am awaiting your response.

AR
Anton R's update15 Jun 2017, 04:02
Reviewer Update

I was assited telephonically. Fedhealth was in contact with me throughout the course of the day and I also received authorisation for both procedures in time.

Thank you for handling this and correcting your mistake Fedhealth.