FEDHEALTH DOES NOT CARE ABOUT YOUR EMERGENCY

Do not use Fedhealth Medical Aid....Especially if you had an accident.

I cut my finger very very badly and went to the emergency room. The doctor said that this is can be a limb threatening injury. I had X-rays done to make sure the bone is in good condition....

In my mind I thought "this is an emergency, surely my medical aid will cover this" oh boy, what a wrong thought.

So, here is the entire things that was claimed, and how much was paid (also, I am on I am on the Flexi Fed 2):

The Doctor: Fedhealth paid 0%, its now up to me to cover this bill The X-ray: Fedhealth paid about 68%, its now up to me to cover the rest The Emergency Room (which is part of their network): Fedhealth paid 0%, its now up to me to cover this bill.

According to Fedhealth, its some "authorisation" that needed to be done within 48 hours..... WHO THINKS OF STUFF LIKE THIS IN AN EMERGENCY SITUATION???

Anyway- So the doctor now needs to send some codes in (ICD-10 codes or something), which they did, and still... Fedhealth refuse to pay.

I filled in a survey in which they kindly ask you to fill out which I explained the above situation and I requested a call back. A kind lady called back and she (after not really listening to what I am saying) eventually hanged the phone up in my ear.

So - My message to Fedhealth. I DO NOT WANT A CALL BACK with some sloppy excuse why you don't want to pay my emergency visit. As you guys find the smallest loopholes to not pay.....but you guys take my money with a smile at the end of the month..... ps. that will change soon as I am looking for a new medical aid.