MK
Manuella K

1 reviews | Active since Jan 2019

07 Dec 2021, 14:35

Terrible auth service.

I'm extremely disappointed in the service received from Fedhealth. I emailed the Auths department on the 2nd, 6th and 7th of December for authorization for a procedure tomorrow, the 8th. To date I have not received feedback on: Your query number is: 021221QX0MGH Your query number is: 061221QX3WY6 Your query number is: 071221QX4PYG Your query number is: 071221QX4PYH I called in for assistance as this is now a matter of urgency. Spoke to an agent, Bertie Mollentze, who has been very helpful and assisted urgently. However now the request is being referred to the underwriters and medical aid to confirm approval because I have been on the medical aid less than 12 months. Yet my daughter had an in-hospital procedure, just yesterday, that didn't require all this. Or perhaps it did. What's frustrating me most is that I now have to be pushed from pillar to post to obtain authorization for a procedure tomorrow and its almost the end of the business day.

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Replies (3)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply07 Dec 2021, 15:07
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

MK
Manuella K's update07 Dec 2021, 15:24
Reviewer Update
Reason for pending authorisation
We are in receipt of your request for an authorization. You have joined the scheme within the last 12 months, and it is our procedure to ensure that
there are no pre-existing conditions, that were not declared on your application for membership at the time of joining. In order for us to determine
this, we might have to make contact with you and/or your healthcare providers for information in this regard. This process could take up to 3 days.


How can you reply now and tell me a process will take up to 3 days when I have a procedure tomorrow?? After I requested Auth 5 days ago!
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply07 Dec 2021, 16:09
Official
A consultant has been in contact with you and detailed feedback has been provided. 

Kind Regards The Fedhealth Family