AH
Andisiwe H

1 reviews | Active since Jun 2016

13 Aug 2020, 13:54

Fedhealth failed me

I am beyond disappointed at the number of issues I am experiencing with Fedhealth. I am 37 weeks pregnant and have been using my medical aid for my gynecologist appointments. I have more than enough in my savings wallet to pay for my claims. However for my last 2 gynecologist appointments Fedhealth has decided to short pay my claims. I have spoken to 7 different agents from the call center and I keep being told that my claim is with the assessors and they will call me with a resolution. It has been a month of waiting to be called and nothing. Someone called me yesterday and promised to call me back with a resolution and today nothing. The gynecologist is on Fedhealth's network and I was told that he is charging according to the contract he has with Fedhealth. I am beyond disappointed.

0
Replies (3)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply13 Aug 2020, 14:47
Official
Thank you so much for your review we will be in touch shortly.

Kind Regards
The Fedhealth Online Team

Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply11 Sept 2020, 11:45
Official
A consultant has been in contact with you and detailed feedback has been provided. 

Kind Regards 
The Fedhealth Family

AH
Andisiwe H's update12 Sept 2020, 00:14
Reviewer Update
Thank you for the feedback provided. The claim for 09 July 2020 has been resolved. However, the claim for 09 August which had the same error has not been resolved.

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