Inept Claims department

Finally after months of gong back and forth, Fedhealth got it together and paid back the out of pocket medical expenses that should of been convered For my PMB condition. I thought things would be resolved but of course I was wrong. According to Fedhealth I am entitled to two specialist visits a year as part of my PMB care. I've put in a claim for a visit to the cardiologist and surprise, surprise they rejected it. It looks like this is going to happen every single time I try to claim from Fedhealth. I have to fork out thousands of rands for medical expenses and pay my premiums on top of that. I cannot understand why Fedhealths system is \un-programmable". Why haven't they fixed this properly!!!!!! Why must I be out under this stress every single time they need to do their part? """