Fedhealth Medical Scheme
Decisions made without looking at history

I HAVE A 21 YEAR OLD SON WHO IS PHYSICALLY AND MENTALLY DISABLED.

i APPLIED FOR CHRONIC MEDICATION OF A CREAM FOR THIS CHILD'S SKIN. IT IS A CREAM FOR ECZEMA. AS THIS CHILD IS BED RIDDEN, HE CAN NOT WALK OR TALK. HE WEARS NAPPIES AND STILL DRINKS A BOTTLE WHICH YOU HAVE TO HOLD FOR HIM. AS A RESULT HE GETS SORES ON HIS SKIN AND THIS CREAM HELPS. BUT THE MEDICAL AID HAS REJECTED IT, AS THEY PROBABLY SEE THAT ECZEMA IS NOT A CHRONIC CONDITION.

SURELY SOMEONE WHO JUST MAKES THESE DECISIONS, ACTUALLY LOOKS AT THE PATIENT HISTORY BEFORE SAYING NO.

THE SORES WILL ALWAYS BE THERE AS HE WILL NEVER WALK OR GET OUT OF BED, UNLESS SOME MIRACLE HAPPENS. TO TRY AND GET SOMEONE AT FEDHEALTH TO UNDERSTAND THIS IS A NIGHTMARE, CAUSE THE CALL CENTER SAYS "NO IT IS REJECTED" AND THEY DON'T HAVE THE AUTHORITY TO LOOK AT THE CASE HISTORY OF A BOY BORN ONTO THEIR MEDICAL AID WITH THIS DISABILITY

Company: Fedhealth Medical Scheme
Country: South Africa
City: Head office

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