NB
Nobuhle B

1 reviews | Active since Nov 2019

24 Dec 2021, 09:19

Hospital authorisation

I'm a 34 year old pregnant at 37 weeks with my first child and currently facing some complications with my pregnancy which requires a ceasarean section according to my gynea.

Monday 20/12/21 I went to Zamokuhle private hospital for hospitalization, my authorisation was placed onhokd for 8hours by my med scheme. Tuesday 21/12/21 the hospital called to update me on my status that's it's still pending. Since than I've been calling everyday, almost all day to get assisted but I'm getting the same feedback that they waiting for a form from my gynea that needs to be completed. I than follow up with both my GP and gynea if they have recieved any emails but nun of them have recieved the form spoken off.

What's annoying is having to call so many time to alert them of the issue but the reply is "the matter is with the authorities and there's nothing we can do to update on the system our side". Worse one of they consultant lady and her senior suggested I go to the state hospital for sake of my child. As desperate as I am and concerned about my unborn child i went to Tembisa hospital of which i was told to come back 4 January 2022.

It's been stressful week and I try not to stress so hard for my baby and it's hard as I fear might affect the state of my unborn baby.

Wednsday 22/12/21 Pam from authorisations called @09:44 to tell me my request has been provisionally approved and that it will be sent to admin to update the Hospital, later on the day I followed up with Zamokuhle hospital only to find out my request is still pending. I than fallen in again spoke to Justine than Caroline who told me nothing has been approved and that I should wait AGAIN.

I've tried so hard, calling, sending emails but there has been NO reply but silent treatment.

What do I do on a matter like this, do I open a case or? I'm a paying member, I don't deserve such treatments!

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Replies (2)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply24 Dec 2021, 09:51
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 reply24 Dec 2021, 10:32
Official
A consultant has been in contact with you and detailed feedback has been provided. 

Kind Regards 
The Fedhealth Family