Fedhealth - bad service

I am not a person that normally take my problems public, but I have now reached a point where I cannot keep quiet any more. Fedhealth is the biggest "bull ****ting business" on this earth. I will also stop short of say in public that they are ******* that ***** your money.

I submitted documents for authorization for a procedure of a family member in Nov 2017. Approval letter was issued for both the surgeon and the aneathetis. Afterwards I received notice that Fedhealth don't want to pay the aneathetis. I followed up and Fedhealth told me there was no authorization. I paid the bill in the mean time. After following up and resending documents, they paid the aneathetis end of Dec 2017 despite submitting my proof of payment.

January 2018 Fedhealth reversed the payment. In April I received a 120 day oustanding statement from the aneathetis. After a month of calls and follow ups I again paid the aneathetis. The list of call centre reference numbers are numerous - definitely more than 15. I have recorded voice messages from Fedhealth consultants that promise "that payment will be done shortly"....and that where it stayed - empty promises.

After getting nowhere I visited the Medscheme "walk in centre" in Cape Town on 13 June. My case was escalated. On 4 July I visited the "walk in centre" again. I was told that payment was made on 21 June to the aneathetis. Again not to me despite submitting my proof of payment on 13 June.

The aneathetis was paid R1,300 short. I was told that the aneathetis did not charge medical aid rates. This after I negotiated medical aid rates with the aneathetis.

I followed up and was told that the aneathetis has a contract with Fedhealth and did charged the correct rates.

Where does this leave us, "the public"?

The friendly financial lady at the aneathetis rooms offered to take this matter up with Fedhealth. This afternoon we recieved notice of the follow up. Fedhealth has used 20 minutes for calculating anesthetic in stead of 65 minutes. That is the reason for the short payment.

If I did not second guess this, I would have lost the R1,300. How must we as public know what to ask or where to look. That is why I say they are *******.

Fedhealth's service is bad and the lowest of low quality - only emty promises.

At a certain point I requested the contact details of the CFO and the CEO. That was not available and I was kept away from them.

Dear CEO of Fedhealth Medical Aid - if you have any guts please contact me to discuss this matter.