Fedhealth removed me from High Care mid-investigation, now 3 months of delays, declines & emotional distress – Ombudsman complaint lodged

I am absolutely shocked and devastated by the treatment I have received from Fedhealth. I am a paying member on the flexiFED Savvy plan Membership No. ***, and what I have endured over the past 3 months is unacceptable, ********* and emotionally damaging. On 15 September, I was taken to Olivedale Hospital after a seizure-like episode and transferred the same day to Garden City Clinic High Care for urgent neurological investigation of possible epilepsy. On 16 September, within 24 hours, Fedhealth refused authorisation and had me removed from High Care mid-investigation. Because of this: My neurologist, Dr Waja, could not complete essential tests. His findings were inconclusive, and he used ICD-10 code G40.9 “? Epilepsy” – the correct code when Fedhealth interrupts investigations. I was pressured by Fedhealth to sign a “Refusal of Treatment” form so they would not be responsible. I refused. Even my neurologist phoned me, concerned, advising me to go to a government hospital because I still needed urgent testing that Fedhealth refused to allow. Since then, Fedhealth has kept me under a “non-disclosure” review for nearly 3 months, with constant declines, ignored emails, and endless requests for documents that were already submitted — most of which I had to obtain myself. Both Dr Waja and Dr Talbot have submitted everything asked for. Yet Fedhealth still refuses to finalise this case. Meanwhile, bills keep pouring in: ambulance, specialist, hospitalisation — and Fedhealth refuses to take responsibility while I am left drowning in stress and fear. I am: mentally exhausted emotionally overwhelmed financially suffocated repeatedly ignored treated like I am lying when I have done NOTHING wrong Fedhealth has treated me like a number, not a human being who needed help. FORMAL ESCALATION: I have now officially lodged a complaint with the Council for Medical Schemes (Medical Aid Ombudsman) and provided them with:

All Fedhealth correspondence Evidence of delays Medical reports

Timeline of what happened between Olivedale and Garden City Fedhealth’s conduct has been unreasonable, dangerous, and deeply *********. I want immediate resolution. I want my case finalised. I want Fedhealth to stop hiding behind “non-disclosure” delays that THEY caused by kicking me out of the hospital mid-investigation. This entire experience has destroyed my trust in Fedhealth, and the emotional and financial damage is immense. I expect an urgent response.