DISAPPOINTING SERVICE FROM FEDHEALTH WITH COMPLETE LACK OF COMPASSION

DISAPPOINTING SERVICE FROM FEDHEALTH WITH COMPLETE LACK OF COMPASSION I have been a Fedhealth member for approximately 13 years. 3years on my own as a main member and before that on my mother’s as a dependant. On the 6th of April I had an accident at home and my knee was dislocated. I was told to give it a week for it to start to feel better. A week later while I was doing normal activities my knee dislocated a second time. This time with more severity. I was referred to a orthopaedic specialist and he recommended that I do surgery as the cartilage was damaged and the only way to repair was through arthroscopic surgery. I am in excruciating pain 24/7. When I informed the medical aid I need to be admitted to hospital and I need an operation they informed me that my current plan does not cover such a procedure despite the plan stating all in hospital procedure are covered at 100% of medical aid rates. I have not once claimed a hospital stay since I have been on this plan and the majority of the time I pay for all my own medical expenses as “its not covered by my plan” I further went on to plead with them to please upgrade my plan and I will cover the co-payment for the procedure, as my knee is getting in the way of me performing normal daily tasks as well as my job as I am a photographer and need to be on my feet all day. I am on expensive pain****ers everyday. Fedhealth then refused an upgrade to my policy as it is not a “life threatening” or “life changing” event. I have not asked for them to cover the operation with the plan I am on now, all I wanted was an upgrade which was initially suggested by the consultant that I dealt with initially.

I am extremely disappointed in Fedhealth as I have been a member with them for more than half my life and they are always saying that when you join Fedhealth you become part of the family. I thought it only fair that people see the truth when it comes to what kind of family they really are. I WOULD NOT recommend Fedhealth to anyone considering medical aid. Someone from Fedhealth should contact me to sort their unfair policies and procedures out. Catherine Jansen **********