SS
Stephan S

1 reviews | Active since Feb 2015

17 Jan 2017, 12:08

Utterly weak service from FEDHEALTH to paying members

<p>There was 2 claims for last year(2016) for 2 GP cosultaions that was not paid even while the GP was on the Fedhealth GP registered list and should have been paid by the medical aid(previous visits to this GP was paid). I did put a query in but due to end of the year nothing happened but early this year both consultations were paid but out of my savings for 2017. When i did query it they've provided me with the following reference no. 120117Q36BWO. I did explain to the operator; he told me that the GP was not listed in which I reply that I have a screenshot of it displaying that she was on the list in which he ask me to email it to fedhealth using the reference number on which I did. The following day I receive an email saying that the issue has been resolved and that I must rate their service but nothing has changed. Another call to them speaking to another operator who told me all different stories on why the claim was not settled by Fedhealth, one of the reasons was that I have to register the doctor as the doctor of prefrence with fedhealth but even after the two consutations in question I took my son to another doctor in another town where we were during our december break away which was also registered with fedhealth and was still in 2016 - that claim got paid. I've send them and email on the 13th of January 2017 regarding this matter to please get someone who are more informed to call me so we can settle the matter but up to date no-one from Fedhealth have made any effort to contact me either via phone or email.</p> <p> </p> <p> </p>

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Replies (1)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply18 Jan 2017, 13:37
Official

Thank you for your comment, we will do some investigating and get back to you shortly.

Kind Regards
The Fedhealth Online Team