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daleen E

1 reviews | Active since Apr 2021

04 Mar 2024, 14:50

pay for benefits but medical dont want to pay

My husband went to hospital in January, received an authorization nr but the medical aid doesn't want to pay full amount on the stent received. although my medical aid brochure i received said unlimited amount. i did send through email with the details without response.

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Replies (4)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply05 Mar 2024, 08:24
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


Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply05 Mar 2024, 16:42
Official
Dear member, 

As per our records, the prosthesis is being reviewed by the medical advisor and feedback will be shared with you once available. 

Best wishes, 
Fedhealth
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daleen E's update06 Mar 2024, 11:19
Reviewer Update
please this is urgent as unitas hospital asking for their money
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daleen E's update07 Mar 2024, 11:56
Reviewer Update
Thank you i received this email, much appreciated
| Dear Hendrika

Thank you for your email dated 01/03/2024.

The relevant reference number is the following: 010324Q2ZKKJ.

With reference to your query please note the following:

We received your email regarding the claim below, please be advised the claim has been reprocessed and the full amount will be paid to the hospital in our next payment run.

Practice number: *** Unitas Hospital
Treatment date: 16/01/2024
Charged amount: R14,520.00
Amount paid: R14,520.00

Kindly update your personal details on a regular basis, to ensure that you receive the latest updates from Fedhealth.

Access the Fedhealth Family Room for: claims and benefits information, download your important documents, to add and remove dependents, and much more. Go to fedhealth.co.za to access it or use our WhatsApp line to look up this information or chat to an agent: https://wa.me/***.

Best wishes

Fedhealth Customer Services