mN
maselelo N

1 reviews | Active since Oct 2014

07 Mar 2024, 11:19

Fedhealth co-payments that are not discussed with member

I have never really had issues with fedhealth till date but this is the most frustrating thing I ever had to deal with, my son was admitted in hospital 04 February we were discharged 05 February 2024. So I get a call from Netcare billing department saying I owe them 7500 the medical aid said there is a co-payment for a procedure I was confused as there was no procedure done on my son, called the medical aid and they told me the hospital submitted codes for a procedure and I must send the email with statement showing there was procedure then they will resubmit it went back to hospital and I was told the codes are correct his words were medical aids should tell their clients the truth. Went back to fedhealth and was put through to authoritarians and I told the co-payment for son is because he had gestro issues and that an email was sent to me advising me of the co-payment on the 04 February 2024. I told her I didn't receive it I went back checked it found it and forwarded her the correspondence from fedhealth and the authoritarian letter said nothing about a co-payment, after that her and team leader now changed the story to say the hospital updated after we were discharged that's why I have to pay. Yet I was never informed about this at any stage of my sons hospital stay in writing or even a call or sms

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Replies (1)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply07 Mar 2024, 15:52
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