CP
Celeste P

1 reviews | Active since Nov 2020

26 Jan 2023, 21:29

Fedhealth Medical Aid services- very bad

I was admitted to Hospital for what i thought was abdominal pains, it was terrible, Dr's did all kinds of tests and came to conclusion that that pain is actually from my back. Dr explained to me cause pain was so severe that i did not note it was from my back, as it started to effected my legs. I fell a few times as my left leg sometimes did not want to move. The neurosurgery found that there is a problem in my spine. We requested autherization from Fedhealth for the surgery to be done, which was supposed to done on Tuesday 24 January, but to my surprise, they denied the autherization as I'm not "covered" for the operation. There was no proper communication done, i had to call all the time, and when i checked on the Family Room to track the progress of the autherization, i saw that it was DENIED. My arguement is i'm in desperate need of medical help, as i have to endure this terrible pain every day, it effects my children as well to see their mother suffering like this. When i called yesterday, 25th January, the one consultant asked me, mam why didnt you chose a higher plan..LOL..i mean now really, a single mom with 2 kids, a higher plan. That would cost me half my salary, i mean this in a very way...I really need help please. The medication i have given is TRAMADOL 50MG, SYNALEVE CAPSULES, VIMOVO 500/20MG, EXINEF 90MG, NUBACAP 75MG & ZOFER RAPITAB 4MG- This tablet is for the nausea as the tablets is too strong. Those who know tablets, this is what i live on now. my apetite is gone, i eat fruit only. All these tablets make me drowsy like a zombie, but the pain stays there. I cant sit up straight for a long time, i cant walk long distances, so basically i cant enjoy my life. Can someone please call me with a solution to my problem please, i need this surgery to be done asap, i'm going to lose my job very soon. Fedhealth show some humaity towards your clients, and communicate in a effective way. Thank you God bless.

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Replies (4)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply27 Jan 2023, 08:18
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 reply27 Jan 2023, 12:48
Official
A consultant has been in contact and provided detailed feedback to you by email. 
Best Wishes
Fedhealth
CP
Celeste P's update28 Jan 2023, 12:29
Reviewer Update
I have not received any call from any consult yet. I have received a few emails from Fedhealth basically thelling me the same thing over and over again. i need a solution please. i'm sitting here with pains i cant control, i cant sit up for a long time, i cant walk long distances without my legs getting lame, i hardly sleep at night. I need this operation to live a normal life again please. The meds is making me drowsy but the pain stays there. if such emergencies is not covered, then what is the purpose of paying for a medical Aid, if i was on Bonnita's medical aid, they would have gladly autherised the operation. It's really sad that we as normal citizens gets *****ed over in all ways. I pray that God will really help us.

CP
Celeste P's update28 Jan 2023, 12:32
Reviewer Update
why is that my PMB only covers my chronic condition? This pain that i have is worsening the chronic condition, as i sometimes feel the pain affects my heart, i have a BP monitor at home, my heart rate is below 60 at moment. so yes this pain is going to cause my death, that is the sad reality.