DN
Dinika N

1 reviews | Active since Nov 2021

22 Nov 2021, 12:35

Pathetic service

My experience with fedhealth has been nothing but horrible to say the least. I have called them on the 26th of October for pre authorization on a procedure I needed to be done by the 4th of November the consultant I spoke to on that day said it would take 2 to 3 business days for me to know if it is authorized or not. I then called back on the 2nd of November this being 2 days before my procedure they then tell me that it is with underwriting and they will call me because there are questions that they need to ask me before my procedure is authorized. I now had to call my doctor on the 3rd of November and change my appointment date because no one has gotten back to me, so now my date has been moved to the 15th of November but I have yet contacted the medical aid so to their knowledge it is still the 4th of November. I now thought I will give them some time to get all of this sorted I then call them on the 12th of November to find out what is going on as no one has called me or emailed me with regards to my pre authorization the consultant then tells me the same thing it is with underwriting it will be escalated I then asked to speak to someone in management she then transferred as I started giving my medical aid number the call cut as my airtime finished. To date no one has gotten back to me I now again had to reschedule my appointment now moved to the 29th of November. This is not fair the level of service is pathetic as even higher management did not get back to me to date.

That is the one incident the other one is for a claim I put through on the 26 th of October my claim was for R1300 I was then only reimbursed R630 they consultant advised me that they will contact me and inform me what is going on to date no one has contacted me with any information regarding this. Pathetic and horrible service

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Replies (1)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply22 Nov 2021, 14:19
Official
Dear Member, 
 
Thank you so much for your message, we are sorry you’re having such a bad experience, please bear with us while we do some investigating.  One of our consultants will be in touch with you as soon as we have a result. 
 
Best Wishes
Fedhealth