hH
homairahparuk H

1 reviews | Active since Sept 2016

17 Nov 2021, 12:19

Frustrated

In general Fedhealth is a good medical aid, which pays timeously. However I must say they are not treating me well in this particular case . Medical aids allow an upgrade on diagnosis of cancer, so I app**** for an upgrade. Fedhealth says it takes 5 working days to resolve such requests. But after 8 working days, and many phone calls in my part, I received an email declining my request. They said this was a pretty existing condition but this was not so. I am unhappy with this service as (1) they came to the wrong conclusion and they should have called me to clarify their decision, in which case I would have explained and obtained an appropriately letter from my oncologist, and (2) felt that they took too long to respond . It is now 11 working days since my request and despite me sending them a letter from my oncologist explaining that this is a new cancer, and me explaining that Fedhealth had previously assured me I would be allowed to upgrade if my cancer recurred , they have still not upgraded me.

So I am very unhappy about this particular service although (1) I acknowledge that in normal day to day matters, they are competent and timeous (2) I appreciate that they, like the other medical aids in SA, do allow an upgrade on diagnosis of cancer.

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Replies (3)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply17 Nov 2021, 12:32
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 reply17 Nov 2021, 15:00
Official
A consultant has been in contact with you and detailed feedback has been provided. 

Kind Regards 
The Fedhealth Family

hH
homairahparuk H's update17 Nov 2021, 16:46
Reviewer Update
Thank you Fedhealth for contacting me so soon after my review and resolving my issue. I appreciate the prompt response. Thank you