Frightful Fedhealth

Let me join the chorus of those that have the misfortune to belong to the worst medical aid in SA - the frightful Fedhealth! When even Dr's secretaries tell you that then you should be very afraid. There is a whole dept that has as its sole purpose to reject claims whether they are valid or not. Try and fight it and you will find yourself arguing with a machine or with someone that cannot read for meaning. In the printed material for emergency treatment it says: " emergency treatment is defined as a physical injury caused to the body by an external force, which requires immediate attention OR(MY CAPITALS BUT VERY NB) for life threatening conditions that require immediate hospitalisation after treatment in the trauma unit". So, smash yourself up with your mountain bike so that you require stitches to your face but you stagger out afterwards - you are surely covered? Read further and it says" Claims will be paid from Risk if... * A member visits the trauma unit of a clinic or hospital for emergency treatment such as suturing. * A member visits the clinic or hospital with a life threatening condition and is admitted immediately for further treatment." The way that paragraph on conditions reads it means that either one of those conditions is valid. Not so, says Fedhealth, it has to be both - you also have to be admitted with a life threatening condition! How does one even begin to argue this mangling of the English language let alone sheer illogicality of it all? But I will not give up. That is Fedhealth's main hope - that you give up in despair and pay yet again. SO please re-consider if ever you are thinking of joining this Frightfully Awful Fedhealth.