MM
Mollale M

1 reviews | Active since Apr 2015

09 Feb 2024, 13:23

LONG CLAIM DURATION

I made a shortfall payment of which i was reassured i would be able to claim it back from my wallet(savings). I submitted a claim 24 Jan, it was returned 30 Jan requiring more information, I requested the detail from the Drs rooms and resent the claim 1 Feb, I followed up once last week and was told the claim is in progress but has no official pay date, i then followed up again today 9 February due to noticing the amount had been subtracted from my wallet(savings). I then got informed the claimed amount is getting sent to Drs rooms and I can then claim back the refund from the Dr. I phoned the ,medical scheme for assistance and the kind agent said she would stop payment to the Drs and rechanneled refund to be sent to my account in 5 working days- her service was great but how was it not seen that payment should have been sent to me all along in these days. I am appalled at the lack of attention to detail with such sensitive issues during such a difficult economic climate. TERRIBLE

0
Replies (5)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply09 Feb 2024, 16:46
Official
Dear Member, Thank you for submitting your feedback to us, we are sorry to hear about your experience. One of our consultants is already attending to your request and will respond to you shortly.  Best wishes,Fedhealth 

MM
Mollale M's update13 Feb 2024, 11:48
Reviewer Update
I still have not heard anything?
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply13 Feb 2024, 14:27
Official
Dear Member,

A consultant has been in contact with you and detailed feedback has been provided.

Best WishesFedhealth
MM
Mollale M's update13 Feb 2024, 14:50
Reviewer Update
That's correct, thank you. Awaiting the promised actions now. Thankfully the agents who have handled the matter after the incorrect channeling have been all very helpful and pleasant in resolving the matter.
MM
Mollale M's update15 Feb 2024, 09:36
Reviewer Update
All is sorted and in order thank you to the consultant who changed the direction of this long awaited claim