dV
deon V

1 reviews | Active since Jul 2012

22 Jan 2020, 12:00

*** service from claims at fedhealth

Hi I phoned fedhealth in December to try and sort my issue out with them where they decline my claims after my accident and according to the scheme I am covered for it. The claims guy resubmitted my claims and simply it was rejected again and then I used the chat bot. The guy said to me I must submit an email and they will come back to me. So the 7th of Jan I submitted an email but still did not hear anything from the wonderful Fedhealth. I forward an email again and still no reply. I moved back to chatbot and made myself heard by swearing and clearly telling them how *********** the staff is at fedhealth. So the only thing the darren dude did was cut me off from the chatbot and I cant raze my complaint ore use chatbot. I darren cant handle the heat then he must stay out of customer service when fedhealth *****s-up.my reference number 070120QTMF33 is for the first email. I would like to speak to the *********** claims manager or even the CEO and tell them how **** their company is. Plus I would like on hello peter an proper explanation why you guys decline the doctor claims when I am covered for 30 day after care and so on. I assume you guys will only reply on hello peter the following: thank you for you request an agent will be in contact with you shortly. Easy excuse to get out of "I don't want to work" . Really bad *********** service I am getting from Fedhealth and it really is disappointing that no one can give me a proper reason why you guys decline my stuff where the doctors gave me more advice and direction how Fedhealth works and I must sort it out because they know I must be covered. Received better service from the doctors than Fedheath.

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Replies (4)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply22 Jan 2020, 12:11
Official
Thank you so much for your review we will be in touch shortly.

Best Wishes
The Fedhealth Online Team

dV
deon V's update22 Jan 2020, 12:26
Reviewer Update
Lets see how long this will take to be in touch with me.Plus the function fedhealth to delete their clients from chatbot wont be necessary if fedheath just do what they promise and advertise. Think about it for a bit
dV
deon V's update04 Feb 2020, 12:46
Reviewer Update
Still not satisfied with my request below regarding the physio account. I am covered for 30 day after care and the physio in the hospital was paid and when I left hospital I moved to another physio from advice of the physio in hospital and the fact that it is different practice numbers they decline my claim. I don't know how many time I must say fedhealth this. They Only come back every time with the answer I already know but they don't come back how to rectify the problem because I am covered for 30 days. If I go with physio A in hospital and then go to physio B outside hospital the fact is I am covered for physio. If the accident happened in cape town and I stay in Pretoria must I drive to Cape town to get my treatment? The physio did submit the Hospital auth number but we get every-time rejection and it does not make sense and if I ask how can we fix this issue know one can answer. I would like to speak to the guy who rejects the claim not the call center claims agent because they just submit it to the guy who reject it.
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply12 Feb 2020, 12:05
Official
A consultant has been in contact with you and detailed feedback has been provided. 

Kind Regards 
The Fedhealth Family