Claim

In addition to this my wife has been told to activate the medivault before any docters claim that has been paid cash by herself or me will be paid am i correct we are now paying back the savings allocated to us what we are currently paying for we do not need any other loan in addition to that. And i am definately not going to pay back the amount of over the counter After the member has accepted the terms and conditions and on a member’s instruction, the Scheme will transfer an amount from the member’s MediVault into the member’s Wallet. This transfer activates the member’s loan and the member will be required to repay the loan in 12 instalments (interest-free). The first instalment will be effective from the first (1st) day of the month following any transfer of an amount from the member’s MediVault into the member’s Wallet. The member may instruct the Scheme to transfer any amount (up to the pre-determined maximum or minimum) at any time during the benefit year (also see General Provisions below)

This is the first time in my life that i'm told to pay back the savings allocated to us each year in addition to the monthly contribution if it's already included with this years increase that's fine but I am not going to pay more than the current monthly contribution which I can afford for example if the contribution is R 2900 each month throughout the year i'm not going to pay R 400 extra for the allocated saving we receive each year. I'm not interested in a loan nor will we use more savings that's available.

I have sent in a claim for a Dr I have paid cash but I was told I don't have a savings until we activate the medivault. In other words instead of having savings allocated to us for each year instead we are giving a loan on that savings

An extract out of the medi vault terms and conditions but there is no savings unless I take the loan medi vault option Wallet Utilization b "The amount available in the members wallet will only be utilised once the members MEDICAL SAVINGS ACCOUNT has been exhausted"

So i'm paying a medical aid each month just to hear I have no savings unless I take a loan

This year Fedhealth informed me that unless i activated theire medivault i do not have any savings for this year, where in the past a certain amount was allocated to us each year. Now that has dissapeared now we are only paying the contributions without any savings, unless we activate the loan option. I'm fine with the current amount available to us on the savings for one year. But all of a sudden i'm paying contributions without any savings in addition to this lets say the amount available in the savings is, R 4000 my contribution R 3000 i'll only pay back the savings if it's part of the contribution in other words the same R 3000 i pay each month i'll accept the yearly medical aid increase like i do each year. But i won't do this R 3000 + 400 = R 3400 the R 400 for the amount of savings i used for example if we use another R 600 of my savings the next month i pay R 4000 toward my medical aid there is no way i'm doing that i'm paying my medical aid not taking out a loan. The above was sent to the Ombudsman

I still submitted a claim of which i didn't get any feedback

waiting for claim resolution

Yes I prefer email as method of communication i'm getting sms messages saying Fedhealth was unable to contact me but i'm answering my complaints and emails

We tried contacting you no you didn't i'm not even receiving missed calls please EMAIL ME **********

I received an email yes but not regarding the claim

The only reply i get my email address is working i'm not able to answer my phone at work Thank you for contacting Fedhealth. Family takes care of family by providing you with excellent customer service. Please note we have tried to contact you however we were unsuccessful. Kindly update your personal details on a regular basis, to ensure that you receive the latest updates from Fedhealth. Should you require any further assistance, please contact the Fedhealth family on ***or ********** Best Wishes

Now please explain to me how all my benefits and savings can be used up please send me a statement of those claims each and every one for this year Dear Mr Frans D Roodt Thank you for contacting Fedhealth. The claim was submitted by the Health Care Porivder: ¿ Provider Name: Dr Manoussakis D (practice number ********** ) ¿ Treatment date: 04/02/2019 ¿ For the amount of R800.00 ¿ Patient: Frans D ¿ Payment will be done on the 14/02/2019 to the provider for an amount of R11.04 due to Benefits/Limits used up. I have also attached claims reports from 01.01.2019 till current date.

I paid cash for this consultation please check the documentation i sent and HOW CAN THE WHOLE OF MY SAVINGS BE USED UP WHEN I ONLY USED IT FOR MEDICINE AND THIS DR'S APPOINTMENT ?

Is my chronic medication deducted from my savings ?

HAVE SENT THE MEDIVAULT APPLICATION TO ********** ENSURE THAT IT'S PROCESSED AND MY SAVINGS AVAILABLE THE ALLOCATED AMOUNT NOT A LOAN

Tommorrow i will send you 10 emails with the claim receipt and documents Thank you for your e-mail. Your *** Please be advised that the claim script sent to the scheme is unclear, therefore in order for the scheme to process the claim please send the clear claim script. Kindly update your personal details on a regular basis, to ensure that you receive the latest updates from Fedhealth. If you need any more information, please contact us on email to ********** or fax to ********** . Alternatively you can contact our Call Centre on 0 ********** 53/4. Best wishes Wandisile Ngcobo

I sent 10 emails with all the documents

THE CLEAR CLAIM SCRIPT IS THE ONE WITH THE SLIP R 1100 PAID BY CUSTOMER

NO COMPLAINT SENT TO OMBUDSMAN