cC
calaf C

1 reviews | Active since Oct 2016

16 Nov 2021, 21:00

Refuse to pay for ONCOLOGY despite there still is more than R150 000 available ONCOLOGY benefits

Fedhealth is the worst ever medical scheme ever. My sister was diagnosed with stage 3 breast cancer in August last year. They paid for most of her medical cost, but refused to let her have a double mastectomy and refused to pay for any reconstruction. She has since had chemo therapy and Radiation. The oncologists prescribed Herceptin, a very specific breast cancer chemo every three weeks till the end of February 2023. Suddenly today she received a call that the will not be paying for the rest of her treatment de spite her Oncology benefits indicating that she has at least got R150000 left in her oncology benefit. I copied and pasted this from their Family room website.

Allowed R 480400.00 Used R 328523.74 Remaining R 151876.26.

This is preposterous and negligent to the greatest degree. I will definately be taking my whole family off their books asap. She has Flexifed 4 and was simply told that she has to upgrade to their exec plan if she wants coverage. That is more than R3000 per month extra premiums and she can only upgrade in January so the really do not care about what happens for November and December as far as her HERCEPTIN chemo is concerned. People should know that although FEDHEALTH used to be a very good medical aid it has now become a very expensive glorified Hospital plan.

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Replies (5)
cC
calaf C's update17 Nov 2021, 18:48
Reviewer Update
Yes, Your agent called me, promised to get back to me before the end of the day! Lo and behold.... No news. I have her name and surname, will publish if this is not resolved. I must advise very strongly for anyone looking at a medical aid to avoid FEDHEALTH like the plague. I have been a member since 2007, but am definately going to a new Scheme. This is a joke!
cC
calaf C's update18 Nov 2021, 21:09
Reviewer Update
Fedhealth has not contacted me after this at all. they are outright ***** to their members and keep sending e-mails to remember to upgrade your subscribtion. No way in hell. I wil call on the agent who called me by name if there is no response from them by end of bussiness on Friday

cC
calaf C's update18 Nov 2021, 21:10
Reviewer Update
Where has your agent who was to call me back? I will make her name public by end of business on Friday
cC
calaf C's update18 Nov 2021, 21:10
Reviewer Update

18 Nov 2021, 21:09


Fedhealth has not contacted me after this at all. they are outright ***** to their members and keep sending e-mails to remember to upgrade your subscribtion. No way in hell. I wil call on the agent who called me by name if there is no response from them by end of bussiness on Friday
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply22 Nov 2021, 15:48
Official
A consultant has been in contact with you and detailed feedback has been provided. 

Kind Regards 
The Fedhealth Family