GM
Goodman M

1 reviews | Active since Nov 2016

11 Apr 2022, 10:50

Authorization Nightmare

My wife sent through an email on the 22 March 2022 for an hospital authorization. only for Fed-health not to get back to her for over a week. She is scheduled to have and emergency C section on Wednesday 13 April 2022 and they don't seem to calling back. Every-time we have to call them and every consultant says the same thing. After reading all the reviews this is the case with Fed-health.

Considering that i have 5 of my family members on this plan, I decided to contact them too and they confirmed that they have had issues with Fed-health and they have been with fed-health for 2 years. We are strongly considering moving and opening up a case and reporting them to the ombudsman, i have had it.

What i don't get is we have been paying their monthly payments and also claiming after our doctors appointments and fed-health has been paying for those claims. If my wife suffers complications before Wednesday. i will open a case with our lawyers and report them to the ombudsman. In addition to this i have informed my family members to move over to a new medical aid. This matter has to be resolved asap as there is no time, for the games fed-health is putting us through.

Fed-health treats you well when it comes to them receiving the monthly payments but when its a client wanting an authorization they take you through the hoops of hell.

I need to hear from someone with a solution with in 48 hours.

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Replies (2)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply11 Apr 2022, 13:53
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
GM
Goodman M's update11 Apr 2022, 18:24
Reviewer Update
Fed-health is unacceptable. We sent all the required documentation you asked for last week, why wasn't this the case when my wife started her plan with you. This was a quick way to take our money and only treat us like this when we want get an authorization. This is ********* behaviour from a medical aid. Further more after reading all the reviews which most of they are in most cases similar to our own, this just shows us that you don't care about your clients and you would rather let patiences go through the worst or worse die.

I still stand on what we mentioned opening a case is the best for fed-health and reporting fed-health to the ombudsman. We have a day left till my wife gives birth. And there is a ridiculous response which doesn't mean anything.