FEDHEALTH: ANY LOOPHOLE NOT TO PAY

Its so sad that companies are willing to loose good customers over small things and throw good business away. Been a loyal customer for over 8 years. Rushed my wife to ER with a severe head injury from a pool accident. Gave all the details to the hospital as requested as our medical aid covers casualty and ER... so we thought... an hour after arriving at the ER I was advised that my wife had been admitted. I was never advised to obtain authorization at any stage even after a phone call from Fedhealth the next day asking how the trauma occurred. Now due to the hospital not putting two separate codes through for casualty and hospital admission medical aid wont pay for it. Fedhealth is willing to loose a loyal customer who paid more than R500 000 in monthly premiums. We will definitely be changing to a different medical scheme for our family.

Hey Fedhealth here's a thought: You know that the client has been admitted and went through ER due to it being an emergency so why not give your client a courtesy call if they don't have authorization for the ER treatment rather than keep quiet, wait for the 48 hours to expire and when your client gets their statement you advise them that they have to pay.

Membership number *** incident 20 September 2020