SG
Sue G

1 reviews | Active since Aug 2014

27 May 2019, 17:09

Fedhealth- think twice before you join this scheme.

I have been trying for 2 months to get reimbursed for a hospital visit. Every time I phone they say they are going to escalate it. Guess what 8 weeks later, and I have just found out that it hasn't been captured and they need to escalate it. I am at my wit's end. I have never in all my life come across such an *********** bunch of individuals. I have enough reference numbers to fill a dictionary. There is no communication, a bunch of people who don't think, where are the doctors account that treated them... I wonder if they just used the bed, this is after I have submitted the doctors claim, and it hasn't been captured. Medical aid is supposed to give you peace of mind...I have anxiety just thinking of being admitted into a hospital. I begged to talk to a team leader or someone in charge, no luck there either. People think twice before you join them!!!!!!

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Replies (7)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply28 May 2019, 08:27
Official
Thank you so much for your review we will be in touch shortly.

Kind Regards
The Fedhealth Online Team

Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply31 May 2019, 10:58
Official
A consultant has tried contacting you and was unsuccessful, however an email has been sent to you. 

Kind Regards
The Fedhealth Online Team

SG
Sue G's update31 May 2019, 12:32
Reviewer Update
 

I have spoken to your consultant on Tuesday and he has managed to resolve 3 of the 4 claims in 2 days. The above comment confirms my beliefs that the one hand does not know what the other hand is doing in Fedhealth.
 I will advise all, once the last claim on the reference number is resolved. 
SG
Sue G's update07 Jun 2019, 08:47
Reviewer Update
I was contacted by Fedhealth, by a gentleman named  Manqoba Mbatha. He managed to sort out 2 of the 4 claims, very quickly. The third claim they paid the healthcare professional, this after I had shared my proof of payment with them. I am now trying to get the provider to reimburse me ( more unnecessary admin for me).
That leaves me with the 4th claim. Manqoba has not gotten back to me. I have tried numerous times to get a response from him and he is ignoring my emails. All I would like is a status update. What absolutely blows my mind is that they know I am upset, they should be trying to win me over not ignore me and upset me further. 
SG
Sue G's update07 Jun 2019, 08:49
Reviewer Update
Oh, and I have still not received the email that was apparently sent on the 31st of May.
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply25 Jun 2019, 11:44
Official
A consultant has been in contact with you and detailed feedback has been provided. 

Kind Regards 
The Fedhealth Online Team

SG
Sue G's update17 Jul 2019, 17:22
Reviewer Update
Hi all, 3 months and 17 days and I have finally received my money for the last claim. A lot of unnecessary time and effort on my part, but I did it. You just need to keep at it and basically do their job for them. I can now close this most frustrating chapter of my life and hopefully, I won't have any more issues.