1 reviews | Active since Jan 2011
Worst medical aid
My dad has cancer, the papers were sent, the papers for palliative care approved. He is approved on the additional cancer provider Aligned program. For some reason Fed health now says he is not registered for cancer or palliative care.. If he was not registered their additional cancer provider would not be providing me services.
Since my dad is in palliative care he does not need such a high option because there will be no surgeries or hospital visits since he is at the end of his life. They denied the request to downgrade. So i asked to have the savings which is unused to be removed and change the hospital network to the fedhealth network with a copayment for admission. He is not going to be admitted. He is in a step down facility. No one can approve or deny this request and it is so ridiculous because they take 3 days to respond, and you receive the dumpest answers and then must await another 3 days for a response to their dump request
1. Services in hospital are paid from savings which the member has no control over even if a pmb condition. Been a week nothing has been reversed.
2. My dads penalty because he was not on medical aid started at 50% and now it is double the standard premium.
3. All ICD 10 codes and tarrif codes are a secret and only doctors have access to this but doctors don't know Pmb codes and some don't even know the right code to use and ask the patient what the code is that medical aid will pay on.
I did receive a reply from fedhealth and they did call me but what is the point when nothing is done to correct the various issues i have.
1. Services in hospital are paid from savings which the member has no control over even if a pmb condition. Been a week nothing has been reversed.
2. My dads penalty because he was not on medical aid started at 50% and now it is double the standard premium.
3. All ICD 10 codes and tarrif codes are a secret and only doctors have access to this but doctors don't know Pmb codes and some don't even know the right code to use and ask the patient what the code is that medical aid will pay on.
I did receive a reply from fedhealth and they did call me but what is the point when nothing is done to correct the various issues i have.
