LJ
Lucille J
1 reviews | Active since Jul 2020
27 Jul 2022, 13:23
FEDHEALTH does not care
Fedhealth refused treatment on what Dr indicated PMB for a pensioner. On appeal they just don't respond. Dr even tried to speak to a medical adviser who was not available on telephone? Dr suggested we take up with medical council as he feels it is a *******. Absolutely pathetic service as well as lack of compassion by not even bothering to convey message to patient and family, we just kept waiting and asking for a repsonse. They just don't bother to respond. They should be closed down.
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Replies (2)
Fedhealth Medical Scheme's replyOfficial
27 Jul 2022, 13:51Dear Member,
Thank you so much for your message, we are sorry you’re having such a bad experience, please bear with us while we do some investigating. One of our consultants will be in touch with you as soon as we have a result.
Best Wishes
Fedhealth
Thank you so much for your message, we are sorry you’re having such a bad experience, please bear with us while we do some investigating. One of our consultants will be in touch with you as soon as we have a result.
Best Wishes
Fedhealth
Fedhealth Medical Scheme's reply27 Jul 2022, 13:51
Official
Dear Member,
Thank you so much for your message, we are sorry you’re having such a bad experience, please bear with us while we do some investigating. One of our consultants will be in touch with you as soon as we have a result.
Best Wishes
Fedhealth
Thank you so much for your message, we are sorry you’re having such a bad experience, please bear with us while we do some investigating. One of our consultants will be in touch with you as soon as we have a result.
Best Wishes
Fedhealth
LJ
Lucille J's updateReviewer Update
28 Jul 2022, 11:44Good day. Gugu contacted me yesterday, on asking for surname was told I would receive sms with reference number which I have still not received, also told I would be contacted this morning which it is almost midday yet still no update.
One needs to consider, started request for authorisations on 4 July. After being denied access to medical advisor which Dr requested and was denied, on the 2nd appeal codes were changed and please understand that this was after begging for a better understanding of issue.
I then find out medical adviser had approved for authorisation on 20 July already yet absolutely no communication nor approval
Of appeal?
I am now trying to contact Gugu and telephone number contacted from now does not exist, no reference number, and obvious intentions to delay issue as they don’t want to pay for what was in essence approved.
Maybe they should be taken up for ****** and then maybe we will get a response?
Really pathetic that an industry participant in Health that is meant to look after their members they choose to allow them to suffer, stress and potential early passing? Obviously they only in it for the money and not fulfilling any services?
One needs to consider, started request for authorisations on 4 July. After being denied access to medical advisor which Dr requested and was denied, on the 2nd appeal codes were changed and please understand that this was after begging for a better understanding of issue.
I then find out medical adviser had approved for authorisation on 20 July already yet absolutely no communication nor approval
Of appeal?
I am now trying to contact Gugu and telephone number contacted from now does not exist, no reference number, and obvious intentions to delay issue as they don’t want to pay for what was in essence approved.
Maybe they should be taken up for ****** and then maybe we will get a response?
Really pathetic that an industry participant in Health that is meant to look after their members they choose to allow them to suffer, stress and potential early passing? Obviously they only in it for the money and not fulfilling any services?
LJ
Lucille J's update28 Jul 2022, 11:44
Reviewer Update
Good day. Gugu contacted me yesterday, on asking for surname was told I would receive sms with reference number which I have still not received, also told I would be contacted this morning which it is almost midday yet still no update.
One needs to consider, started request for authorisations on 4 July. After being denied access to medical advisor which Dr requested and was denied, on the 2nd appeal codes were changed and please understand that this was after begging for a better understanding of issue.
I then find out medical adviser had approved for authorisation on 20 July already yet absolutely no communication nor approval
Of appeal?
I am now trying to contact Gugu and telephone number contacted from now does not exist, no reference number, and obvious intentions to delay issue as they don’t want to pay for what was in essence approved.
Maybe they should be taken up for ****** and then maybe we will get a response?
Really pathetic that an industry participant in Health that is meant to look after their members they choose to allow them to suffer, stress and potential early passing? Obviously they only in it for the money and not fulfilling any services?
One needs to consider, started request for authorisations on 4 July. After being denied access to medical advisor which Dr requested and was denied, on the 2nd appeal codes were changed and please understand that this was after begging for a better understanding of issue.
I then find out medical adviser had approved for authorisation on 20 July already yet absolutely no communication nor approval
Of appeal?
I am now trying to contact Gugu and telephone number contacted from now does not exist, no reference number, and obvious intentions to delay issue as they don’t want to pay for what was in essence approved.
Maybe they should be taken up for ****** and then maybe we will get a response?
Really pathetic that an industry participant in Health that is meant to look after their members they choose to allow them to suffer, stress and potential early passing? Obviously they only in it for the money and not fulfilling any services?