MT
Mary T

1 reviews | Active since Jul 2016

08 Jun 2017, 20:12

Short membership with Fedhealth

<p>We joined Fedhealth on the 1st April by a consultant Mrs R Pillay from wellworxs consulting. We waited for about three weeks before we even heard from Fed health if they excepted us. We app**** and waited. After contacting them several times we were told they are with the underwriters and will revert.</p> <p> </p> <p>I should have taken the wait as a sign already - that I should have stayed with our current medical aid, but really wanted the change. </p> <p> </p> <p>As of the 1st of April we were members. As per the Fedhealth policy is says that you should go to our nearest hospital in an emergency even if not your network hospital. If you go the network hospital in an emergency you dont pay a co-payment but if you go to a hospital not on the network then you pay R 500.00. Our drama with Fedhealth started when hubby had an allergic reactions and could not breathe. I took him to a non network hospital Ethanbeni. We went to admissions and they entered my card details in the system and saw that the card is not active and said we need to pay a co-payment of R 1500.00. I paid that to Ethanbeni and sent in the claim to Fedhealth only to be told that we did not go to a network hospital. Fedhealth rejected it and then sent it to Complimed and said they rejected as we did not go to a Network hospital. from the 23rd April till date i am disputing the Fedhealth. I was told when I was sold Medical Aid is that in any emergency to go to the nearest hospital. Numerous calls and emails to fedhealth no joy what so ever. I have finally put in notice to Fedhealth and will be taking this up. I have been paying from april the amount of R 2821.00 and disputing one claim and the medical aid has not even started. TIll date will have paid R 8463.00 for a Medical Aid i am not even using. I have 36 queries in my fedhealth profile and have not even started using my Medical Aid. Fedhealth are happy to take my money, Numerous contact with Enthabeni and fedhealth - we are still been told that Fedhealth have us inactive members and even on our profile we are inactive until the 1st July. </p> <p>I phoned Fedhealth numerous time and expressed my concerns that if we are seriously hurt that we will be transferred to a state hospital as the hospital still picks us up as inactive members. They said they will investigate and return my call. From the 23rd APril and it is the 8 June, we are still no closer to resloving this issue</p> <p>1) This reimbursment should have come out of the hospital fund</p> <p> </p> <p>We are still receiving bills from the hospital from the emergency of night of the 23 April Fedhealth until the end of the 30 June I tell my family to becareful until my medical aid with my previous medical aid scheme kicks back in. I also asked Fedhealth to give me an acknowledgement that the 30 June will be my last payment as you take off my in arrears. I feel that you have gladly taken my money to provide with with health care and not happy to admit that you are at fault either. The last month payment from all the emails and aggrevation should be pro-rated. Fedhealth have still not reimbursed me with what is due for the hospital, bloods etc. I dont feel that you should be paid for the last month of cover with a medical aid that is not honest, </p> <p> </p> <p>I have asked for a email address for a compliance officer to get back to me and all i get is send it to ********** and then you have an automated response and no response at all. I feel that with all the aggrevation you have caused that Fedhealth meet me half way with the final instalement to you. </p> <p> </p> <p>Fedhealth you are a risk to my family, and have told everyone that Fedhealth is ******* and I will contiune to tell people this. You have not provided a good medical service to me or my family and glady taken my money. </p> <p> </p> <p>When I handed in my notice you were all quick to send me twenty emails from various people to tell me that if used my savings that i will be liable - but why dont you note that we are on a waiting period and INACTIVE so its a standard letter for everyone, but why not get someone to call me and ask me why are you looking at terminating with us ? A very short memebership of three months and we cant even use the medical aid - R 8463.00 for nothing - it has been an absolute waste of my time to fill in the application form and a waste of money to give me nothing but frustation and anxiety in the short time I have been with you. I am going to put a stop order to your last payment just for the principal in this whole debacle with Fedhealth. </p> <p> </p> <p>I will be glad to have this all over with and will never ever recommend Fedhealth to any relatives or friends</p>

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Replies (3)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply09 Jun 2017, 09:33
Official

Thank you so much for your comment, we are currently investigating and will revert shortly.

Kind Regards
The Fedhealth Online Team

MT
Mary T's update19 Jun 2017, 09:43
Reviewer Update

Hi Ryan, please may you contact me on my lan line. My number is on my profile. If not, please email , ********** and I will forward on my number to you

I need to find out what is the progress of my complaint is going.

MT
Mary T's update11 Jul 2017, 09:22
Reviewer Update

I will not tolerate this kind of message from fedhealth. See below screen shot.

I have requested a pro rata rate on the final payment.

I asked you that you need to take it up with management and advise me.

1) you sold me a policy that endangered my family

2) from the 23 April till 9 June we have been disputing your policy and procedures on one claim.

3) as I told Ryan I am demanding a pro rata on the final payment and I will not pay you a cent.

4) forward this message to Heather and let her know this.

5) If you won't help me then get CEO to call me. I will not back down from this and I will get legal advice should you not be forth coming. Just the principle of the entire matter.

6) so far 2821 x 3 = 8463 and did not use you once. Should I pay you then a total of 11825 for a health insurance you risked my family for.

7) I want it pro rated but should really be making it null and void !!!! I should be paying you nothing.

8) you can start preparing all the recordings with every consultant I dealt with along with the 36 messages I sent online with my concerns. I am ready to take you on. You have risked my family and I will not let that just disappear by just paying you. In fact the final
Payment should be 0