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mishqua G

1 reviews | Active since Aug 2016

13 Jul 2022, 10:45

FEDHEALTH MISLEADING

Im am very unhappy with the service delivery that I am getting with Fedhealth medical aid .I was rushed into Kingsbury hospital on the 26 April 2022 due to servere abdominal pain .I was referred by my GP.I was seen to and sent home .On the 29 April 2022 i was rushed in again with the same pain. I was seen to and sent home again that same night .I then received a bill from Kingsbury hospital due to the medical rejecting the claims. I phoned Fedhealth to find out why the claims were not paid .I was then told that I had to phoned for a authorisation number which I was not aware of. Who is in so much pain and then goes to the emergency and still get a authorisation number .Firstly I was not told that when I signed up with them in the first place. Secondly I was not admitted to hospital and that is why the emergency unit didn’t not know about me needing a auth number before being seen to. When I called Fedhealth I was told that they would investigate and let me know if there was any other outstanding documents that was needed , 2 weeks went by and I didn’t hear anything from them. I then decided to give them a call to find out how far the progress was. I was then told that they needed a motivational call from the hospital to say that we were not aware of this information.i pay my monthly fee on time every month to get such ****ty service.I am really not happy with Fedhealth. There has been a number of claims that were not paid and I just left it. You take out medical not to worry about medical bills. The other thing I was also told is that there would be a penalty fee of R1000 for requesting a late auth number.I received a email now saying that the claim was rejected due to lack of information. Come on now they didn’t even make contact with me to say that they needed more info or document and then I sent this email . Fedhealth is 1 of the top medical aid schemes but with this service I would not recommend anyone to sign up with them. I am very upset because they are quick to sign you up and when they do you are not told about all this claws.please help me I don’t know where to go or what to do.

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Replies (2)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply13 Jul 2022, 12:02
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 reply13 Jul 2022, 12:40
Official
 Dear Fedhealth Member,

Kindly note, the social media team is currently trying to reach you.

Regards,