SP
Sonestha P

1 reviews | Active since May 2015

10 Jul 2022, 19:58

Pathetic once again

I’ve wrote a previous complaint , half the matters where resolved.I’ve phoned and spend hours on the phone!

I’ve birthed on the 30th of April at GeneseLife Hospital. I’ve paid for my private room R1880 and now I’m battling to claim back from Fedhealth medical aid due to Life Hospitals claim code. They refuse to investigate or even try and assist me. All they say is that the code have a zero rand value and they can’t assist me. Claim code that was used by Life Genesis hospital for a private room is 57021 and according to Fedhealth that code does not have a rand value…. Ive birthed at Genesis in 2020 yet they paid for it back then. All the statements show that the R1880 was paid by patients so CLEARLY they have proof that I paid for it!!!!

I’ve spoken to Gugu from Fedhealth claims departement and she escalated the matter but no feedback are given to her other than the claim code have a zero rand value. She’s been trying her atmost best to assist me but it’s impossible!

Medical aid said that the claim code have a zero rand value. SO WHAT SHOULD I SO????? Beg????

Absolutely ridiculous service!

I am beyond exhausted! I had to beg for almost all claims to be paid out after the birth of my son!!!!!!

I am seriously considering to move to another medical aid!

0
Replies (3)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply10 Jul 2022, 21:07
Official
Dear Sonestha du Plessis,

Thank you for submitting your feedback to us, we are sorry to hear about your experience. You have reached us outside of our working hours which is 08:00-16:00 Monday to Friday. One of our consultants will contact you in the morning to discuss your enquiry.

Best wishes,
Fedhealth
SP
Sonestha P's update12 Jul 2022, 21:10
Reviewer Update
When can I expect feedback regarding this matter? I’m getting irritated with this situation now?!

Previously In 2020 I was paid out. You can clearly see on statements that I made the payment. Please just refund me as per the Maternity benefits that state that a Private room is part of my benefits.
SP
Sonestha P's update01 Aug 2022, 07:55
Reviewer Update
Still nothing has been resolved???? Fedhealth how much more time are you trying to buy?

If this matter does kot get resolved within 48hours I will cancel my membership and take this to ALL social media platforms.

I think I’ve given you more than enough time to resolve this.

I want my money as promised - maternity benefits

Regards