Quality of Life and Members Best Interests are NOT Fedhealth's Top Priority.

Until my most recent interaction with Fedhealth, I have raved to friends and family about how happy I have been. Until now. I am a Type 1 Diabetic who has had trouble for an eternity with my blood sugar. After my last visit to the hospital in April, the Doctor's, Dieticians and Psychiatrists, to whom I have paid thousands out of pocket, all agreed and motivated that I go on insulin pump therapy. My specialist endocrinologist and I spent over a month compiling data to motivate for the pump and I was issued with a motivation letter to send to Fedhealth. After sending all the information to Fedhealth I received an automated response stating I would get feedback in 5 working days. 2 weeks down the line I still had not heard back, but I assumed this is a complicated issue, hence why it might take some time. I decided to follow up, only to be told that the information as received, but nothing had been done, not even looked at. The lady I spoke to said she would escalate the motivation. Not even 2 days later, I receive an outright rejection from Fedhealth, and upon enquiring why I get told I will need to upgrade my plan to one which would cost me in excess of R12000 per month and then I would still have no guarantee I would be covered. I personally feel the way Fedhealth has dealt with this to be completely impersonal and a complete disregard for my quality of life, my health and my Doctor's professional opinions. Fedhealth claims to have a panel of professional Doctors who perform these clinical reviews and determine the outcome based on the member's specific medical needs and circumstances. I can hardly see how this was done in under 2 days and I am quite certain my motivation did not even reach this panel for consideration, it was simply rejected outright. It is very disheartening after such great service to be made blatantly aware of just how little Fedhealth cares about their members quality of life. I am on a plan I can barely afford as is, but I pay without question. Yet I am only afforded the absolute bare minimum when it comes to my medication. I am already suffering from complications of this disease, yet Fedhealth will not afford me the time to properly review and consider my needs. I might as well utilize public health as even the most basic of long-acting insulins I require are subject to co-payments with Fedhealth. Hopefully, my concerns raised here won't fall on deaf ears in the same way that the motivation from my medical team has.