AG
Amanda G

1 reviews | Active since Jan 2015

20 Nov 2025, 18:14

Fedhealth Abandoned Me in a Medical Emergency — Non-Disclosure Now Approved, Still Refusing to Pay Bills

I am posting this because I truly don’t know what more I can do to get help from Fedhealth. On 15 September, I was taken to Olivedale in a medical emergency after seizures. I was transferred to Garden City, placed in High Care — and the next day (16 September), Fedhealth had me removed from High Care, even though my diagnosis was still unclear and my condition was described as life-threatening. My diagnosis remains epilepsy unspecified because the hospital investigation was cut short due to Fedhealth’s intervention. Fedhealth then launched a non-disclosure investigation, during which they ignored my repeated requests for updates, reports, and explanations. I was treated as if I had done something wrong, even though I was desperately ill and terrified. After months of stress, the non-disclosure has now been approved — meaning I never ****. But instead of relief, Fedhealth is still dragging their feet to pay the hospital bills. I continue to receive new invoices, and the stress is becoming unbearable. My broker assured me that MRIs would be covered in emergencies — and my policy clearly lists seizures as life-threatening — yet I am now sitting with an MRI bill of over R9,000, even after paying an initial co-payment in hospital. How is a patient supposed to get properly diagnosed if Fedhealth refuses to cover the necessary tests, kicks you out of hospital, and then tells you to wait for another seizure? Fedhealth has also claimed they can’t obtain certain documents due to POPIA — but in the first month, they themselves sent me paperwork containing another person’s private details. A clear POPIA breach. The lack of accountability is shocking. Every person I have dealt with at Fedhealth has been cold, dismissive, and unwilling to help. I joined Fedhealth because I wanted to be protected if anything went wrong. Instead, I was misled by a broker, abandoned in a crisis, left with enormous bills, and still have zero clarity on what will or won’t be paid. Fedhealth, please resolve this. I cannot live in constant fear and financial stress because of your delays and lack of care. I have now formally lodged a complaint with the Medical Aid Ombudsman.

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Replies (1)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply21 Nov 2025, 09:04
Official
Dear Member,
 
Thank you for submitting your feedback to us, we are sorry to hear about your experience. One of our consultants is already attending to your request and will respond to you shortly. 
 
Best wishes,
Fedhealth