DB
Desire B

1 reviews | Active since Dec 2021

05 Jan 2024, 12:17

Not a medical aid but medical empty promises

I have been struggling with fedhealth for 2 months to get a claim paid and they keep on rejecting it and the first time in many months that i needed to visit the gp.I have sent countless emails which they dont even reply to and hundreds of rands in calls. Everytime according to them the icd 10 codes is wrong. How can you tell the doctor the icd 10 code is wrong if she is the one seeing the patient. What does it matter what the icd 10 code is. I phoned you said they need the invoice and proof of payment and i get reimbursed. It feels like they purposely dont want to pay which feels like *******. And if i read the other comments its not the first time. I think it is time for us to step up and do what ever we must do to stop medical aids robbing us with fine print and wasting our time and money by playing games. Its called medical AID ( help) and not medical leave you in the dark.

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Replies (2)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply10 Jan 2024, 10:09
Official
Dear Member
 
Thank you for submitting your feedback to us, we are sorry to hear about your experience. One of our consultants will contact you to discuss your enquiry. 
 
Best wishes,
Fedhealth 
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply23 Jan 2024, 09:56
Official
Dear Member,
A consultant has been in contact with you and detailed feedback has been provided.
Best Wishes,
Fedhealth