SL
Stella L

1 reviews | Active since Nov 2020

06 Nov 2020, 17:52

FEDHEALTH PATHETIC SERVICE

unfortunately my Authorisation has been declined because I didnt submit medical forms. mind you I received the forms on the on 5 nov 2020 at 12.50pm for the GP to sign . I got the forms from the GP late afternoon around 3pm on 6 nov 2020 because she had a very busy schedule. As I was about to send the forms my authorisation got declined (An indication of the scheme not wanting to pay). There was no deadline as to when the forms must be submitted to fedhealth and how can they decline when forms only took hours to reach them yet fedhealth take weeks to assist a member. Another problem is.... on my first interview with the consultant I was asked if I recently visited a GP. I said no... as I havent been sick and visited a GP in the past 2 to 3yrs. The consultant insisted that I should provide even a GP which I visited years back so I ended up providing contact details of a pharmacy clinic that I visited Early 2017 and the other one in 2013. he also threatened me that if I dont have medical history in the past one year my pre authorisation will be declined . He then emailed me forms on 5 nov 2020 where the GPs must record a medical history from 01/07/ 2019 while I told this man that I havent been sick and visited a GP in the past 2 to 3 years. When I got the forms I responded asking him why is he asking for medical history from July 2019 while I told him I havent been sick in the past 2 to 3 years. But he never responded. The GP filled the forms and indicated that I visited her in 2013 .. The pharmacy clinic did not have any record because they installed a new filling system in 2017 months after I visited the clinic. I also sent this infomation to them. The question is if you havent fallen sick in the past 2 to even 50 years should you not be covered when you join the scheme and fall sick before 12 months has elapsed? Must you be forced to admit that you have been sick while you havent been sick in the past year or months so that you can be covered? honestly this is unfair, inhumane. our money is collected every month but to get covered is a challenge. I suggest medical schemes must run medical tests on people who join the scheme to check if they had a pre existing condition than to investigate clients when they get sick suddenly and require hospitalisation. Now I'm pushed to get a Lawyer to assist me because even if I send emails to fedhealth explaining my situation no one listens. This is the most pathetic medical scheme in SA A profit making business thats what it is. They will try by all means not to pay for your hospitalisation.

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Replies (1)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply09 Nov 2020, 08:31
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