ML
Melody L

1 reviews | Active since Oct 2018

18 Oct 2018, 12:27

Medical aid mess up

Hi I am having issues with my medical aid now, in March one of the members on my medical aid was cancelled, but the person went an claimed for medication in April and the scheme paid for it out of my savings. They should not have approved it as the member was already terminated when the claim went through. I have been battling with them since April and now they tell me that I am liable to pay the pharmacy should the claim be reversed. I keep telling them that they messed up, the member was already terminated before the claim went through, I even sent them a membership certificate with the date. Its almost 7 months and I am still waiting for my refund, its over R600.00 The fact remains, they put through a claim in April, for a member that was already terminated in March and now they tell me that i am liable.?? I will not accept this.

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Replies (2)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply18 Oct 2018, 13:13
Official

Thank you so much for your review we will be in touch shortly.

Kind Regards
The Fedhealth Online Team

Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply07 Nov 2018, 12:31
Official
A consultant has been in contact with you and detailed feedback has been provided. 

Kind Regards 
The Fedhealth Family