Steer Clear of Fedhealth and get real cover elsewhere

Steer clear of Fedhealth. I have been a member for 10+ years, but I am reaching my limit. Claims for chronic conditions said to be covered are not. Claims submitted get a reply of “being processed” but no outcome is ever given, and nothing is ever paid. This scheme does not follow PMB protocols and / or staff have no idea how this actually works. Claims as far back as 25th October remain unpaid for pathology, and specialist visits in and out of hospital also remain unpaid, as far back as the 5th Nov and 19th Nov. Chronic medication covered by this scheme is likely to make their members more sick and at risk, not better. Their approved medications are substandard and inferior, or a large co-payment is charged, or nothing is paid at all.

When one is paying R30,000 per annum for such inferior risk cover and customer service it’s time to make a change. The options when you call in to try and find a claim that was submitted you waste 10 minutes, only to reach a call center staff member who tells you claims are being processed, but these claims never finish processing and no outcome is ever given, they fall into a big hole.