JT
Jessica T

1 reviews | Active since Mar 2016

13 Apr 2016, 12:49

WHY DO I PAY FOR MEDICAL AID

Sadly it has come to this in order for me to hopefully get a response.<br> I had an operation on the 23.02.2016 and needed to pay the doctor upfront which I did , I then submitted my claim to fedhealth for a refund and it seems this is where the wheels have fallen off. They only refunded me about R3000.00 of an almost R17000.00 operation .... WHAT ??? why do I have medical aid if I basically need to pay for the whole thing myself ... upon investigation it turns out they couldn't complete the claim as they were waiting for documents from the doctor , after numerous back and forth follow up calls to see if they have eventually received the doctors documents which surely shouldn't be my responsibility but never the less I followed up with the doctor too and faxed through and scanned the required documents. Everything was sent finally on the 31.03.2016 and was told it would take 7-10 days and here I am still waiting ... when you phone to follow up they say they are working on your claim and I need to wait ... how long exactly ???? because it is passed the 7-10 day waiting period with still no feedback as to when I will get my money back.

0
Replies (1)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply13 Apr 2016, 14:13
Official
Hello JessTambourlas,

Dear Fedhealth family member, thanks so much for bringing this matter to our attention. It's important to us that you feel like a valued member of our family, and as such we will do our best to resolve this issue with you.

Kind Regards
The Fedhealth Online Team