1 reviews | Active since Jul 2011
excess
<p>Yesterday i went to fetch my chronic medication Epilizine 500MG and Epilizine 300MG Epitec 2MG Urbanol 10Mg</p> <p> </p> <p>But there was an excess of R 327.60 last month the excess was on the Urbanol this month it was for the Epilim</p> <p> </p> <p>I've got a medical aid because i don't want to pay cash or excess. My membership numbers ********** 445 and MI ********** 00</p> <p> </p> <p>What is going on now previously i sent through the script with everything on it but only 1 or 2 were put on chronic.</p>
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Kind Regards
The Fedhealth Online Team
Thank you for your comment. Please allow us some time to investigate and we will get back to you once we have a result.
Kind Regards
The Fedhealth Online Team
Please send me the Fedhealth list of pre approved chronic disease medicines on which there are no excess
Please send me the Fedhealth list of pre approved chronic disease medicines on which there are no excess
Thank you for resolving my quiry
Thank you for resolving my quiry
Answer from CMS Mrs Begeman
Dear Mr. Roodt,
Kindly note in response to your query below, the scheme responded as follows:
· On the account the Scheme received on 24 March 2017, from Dr Manoussakis (a non Fedhealth specialist partner) amounting to R1, 700 for services rendered on 23 March 2017, this account was rejected as the member had no savings available. The service provider charged for the following procedure codes:
Ø 0192 - New and established patient: Consultation/visit
Ø 2711- Electro-encephalography
Ø 2712- Electro-encephalography
· Upon receipt of the CMS complaint the Scheme found that he above procedure codes forms part of the member’s treatment plan. Please refer to the attachment for the member’s detailed treatment plan.
· The Scheme has reversed and reprocessed the above account. The Scheme will pay an amount of R1,019.80 to the member by 18 May 2017.
· The short payment of 680.20 was due to the account being paid up to the Scheme rate.
Trust that this clarifies your query below.
Kind regards,
Answer from CMS Mrs Begeman
Dear Mr. Roodt,
Kindly note in response to your query below, the scheme responded as follows:
· On the account the Scheme received on 24 March 2017, from Dr Manoussakis (a non Fedhealth specialist partner) amounting to R1, 700 for services rendered on 23 March 2017, this account was rejected as the member had no savings available. The service provider charged for the following procedure codes:
Ø 0192 - New and established patient: Consultation/visit
Ø 2711- Electro-encephalography
Ø 2712- Electro-encephalography
· Upon receipt of the CMS complaint the Scheme found that he above procedure codes forms part of the member’s treatment plan. Please refer to the attachment for the member’s detailed treatment plan.
· The Scheme has reversed and reprocessed the above account. The Scheme will pay an amount of R1,019.80 to the member by 18 May 2017.
· The short payment of 680.20 was due to the account being paid up to the Scheme rate.
Trust that this clarifies your query below.
Kind regards,