MM
Mbali M

1 reviews | Active since Feb 2015

27 Feb 2015, 12:34

Delay in settling a claim

Good afternoon. I am a member of Fedhealth Medical aid and have been one for a significant period of time now. I submitted a claim on the 29 Jan 2015 for a doctors invoice which I personally settled. I received a notification (email) of their acknowledgement for receipt of the claim on 3 Feb 2015 as well as that their claims department was in the process of reviewing and assessing the claim. Early last week, I contacted the call centre to follow up on the outstanding payment and was told then by Bronwyn (consultant) that the claims department had noted on the system that I only forwarded the proof of payment and had not included the invoice. I advised her that the note was not factual as I had sent a scan which was 2 pages, the 2nd page being the invoice. She must have confirmed this on her end because she then notified me that she will escalate the matter. I also requested a formal apology from their manager and an urgent payment. I called again last Friday as I had not heard anything and was informed that I would receive payment on Thursday 27 Feb. Today I have received neither payment nor an apology. I am extremely disappointed at Fedhealths service and do not recommend them!

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Replies (1)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply27 Feb 2015, 14:26
Official
Hello MVPMngomezulu,

Thank you for taking the time to let us know that you are less than happy with the level of service you have received. We will do some investigating and a consultant will be in touch as soon as we have a result.

Kind Regards
The Fedhealth Online Team