AM
Alungile M

1 reviews | Active since Mar 2020

04 Apr 2022, 11:23

**** **** **** PEOPLE OF THEIR MONEY

They say they pay for the baby immunization, i get to dischem and they reject the claim. i called them and ask to send the list of what they pay for they sent me and i found that only 1 injection they were suppose to pay for. i ended up paying R1562 cash. now they said they want the invoice from dischem and proof that i made the pmt. i sent them. and then their bull**** started.

these are all their emails: Thank you for contacting Fedhealth.

1. Please be advised that the claim for Greenstone Mall Pharmacy with practice number: *** for treatment date 02/03/2022 for the charged amount of R1,442.59 was sent through to the claims department for refund. Kindly note as per the feedback received they require and copy of the claim together with your proof of payment confirming that the claim was paid by you as the member.

2nd email: Please be advised that claim for Greenstone Mall Pharmacy with practice number: *** for treatment date 02/03/2022 was sent through to the claims department for reprocessing. Kindly note as per the feedback received the claim is rejecting because of the referring provider. Please submit an amended claim with the correct practice number for the referring provider.

3rd email: Please submit an amended claim with the correct practice number for the referring provider as remarks are "Product not on scheduled product list for the prescribing provider". (mind you i asked them 20times what is the refering provider and why they rejected the claim in the first place from Dischem?)

4TH EMAIL JUST KILLED ME: THEY RAN OUT OF EXCUSES Kindly note that claim dated 03 March 2022 has been rejected due to the incorrect refering doctor.An optometrist cannot refer the patient for Immunization.

0
Replies (4)
AM
Alungile M's update04 Apr 2022, 11:25
Reviewer Update
ABD BY THE WAY I ATTCHED THE SCRIPT FROM MY GP
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply04 Apr 2022, 12:17
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 
AM
Alungile M's update04 Apr 2022, 12:28
Reviewer Update
thanks, and please ask them to read my emails from the 3rd of March i dont want to explain the same thing
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply05 Apr 2022, 13:42
Official
A consultant has been in contact with you and detailed feedback has been provided. 

Kind Regards 
The Fedhealth Family