SR
Shehan R

1 reviews | Active since Jul 2011

25 Aug 2018, 08:59

Fedhealth Avoids Paying Claims

I visited a family practioner who is on the fed health network. My plan allows me a single free visit.

After the visit I had noticed my claim was not paid. I contacted the call center and was told there was an error and it will be processed. A week passed and nothing changed.

I logged a support request via the online portal and was eventually contacted and told first that am illegible to claim however said there is a system issue and it will be paid. The claim has still not been paid and conveniently the support ticket was closed.

I cannot be going back and forth hoping for a medical aid to actually do what I am paying for.

I visited a network family practioner whom when did a year ago the claim was paid immediately.

I am finding hard to see why I should remain with fedhealth. Sad really as they look for excuses not to pay a R389 claim.

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Replies (1)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply27 Aug 2018, 09:27
Official

Thank you for your comment, we will contact you as soon as we've made some progress investigating your query.

Kind Regards
The Fedhealth Online Team