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Lizette L

1 reviews | Active since Oct 2012

26 Apr 2021, 09:21

Fedhealth fails to pay benefits over and over again

Your administration is so bad it is ********! I have to check every single claim to make sure you pay it out correctly. You've failed to pay out PMB claims and it took me more than a year to get you to correct! You keep losing my GP nomination, then refuse to pay. By now I'm wondering if Fedhealth is going bankrupt, because you fail to pay out the benefits that my plan entitles me to. This all started happening since you migrated your systems to this online portal, so you keep blaming it on 'the system'. But it's been 3 years now? And you keep changing PMB payment requirements to make it MORE DIFFICULT for members to get payouts that they're LEGALLY entitled to. Your medivault system is also structured so members have to pay MORE out of their pockets before they get to access benefits like unlimited GP visits paid from risk benefits. Fedhealth clearly DOES NOT represent the interest of their members!!!

0
Replies (3)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply26 Apr 2021, 09:48
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

Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply03 May 2021, 13:26
Official
Dear Member, a consultant has tried contacting you and was unsuccessful, however an email has been sent to you. 

Best Wishes

Fedhealth

LL
Lizette L's update03 May 2021, 14:04
Reviewer Update
My complaints relate to so many communications with FedHealth that it's impossible to list them all. You'll be able to track them on your customer service system, surely?

Among them are the following:
190421QJKKZM - nomination of network GP lost for third time
MI*** - PMB claims paid out of savings - it took more than a year for Fedhealth to correct. This is AFTER I spend about 20 hours emailing and phoning you, and even laying a complaint at the Ombud.

Then there's also this Medivault system that Fedhealth CLAIMS is in members' interest, but it is clearly NOT. Portraying it as such is false. Is Fedhealth a medical aid where I am a member, or are your members mere profit centres?

Please note: I am NOT available via telephone. You can email me for communications.