EN
Esme N

1 reviews | Active since Oct 2015

22 Jan 2016, 13:55

Fedhealth does everything to not pay claims

I was put on chronic medication in October 2014. Phoned Fedhealth to obtain claim procedure. Submitted script 3 November. Two weeks later after no response was told to resubmit to different email address with more information on script. Did that and waited. Received email stating claim will not be paid. Long phone call reveals that the chronic medicine had not been approved. A week later received phone call stating it had bern approved. Waited and waited till next statement which showed claim had been turned down.<br> <br> By now I had paid for 3 scripts with no compensation from Fedhealth who I have paid every month on time. It is like hitting your head against a brick wall. I phone am told all has been approved just to receive statement to say it will not be paid. I have followed all the requirements exactly ! I qualify for reimbur*****t! They do not want to pay!

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Replies (1)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply26 Jan 2016, 10:59
Official
Hello Enicholl,

Dear Fedhealth family member, thanks so much for bringing this matter to our attention. It's important to us that you feel like a valued member of our family, and as such we will do our best to resolve this issue with you.

Kind Regards
The Fedhealth Online Team