Complaint / review / scam report
Fedhealth Medical Scheme
CLAIM REPORT NOT ACCURATE, & CANT UTILISE GAPcove

Hi
My husband called Fed health the 22nd of October, to find out why they paid ZERO next to 2 codes (008 & 009) on our FEDHEALTH CLAIM REPORT.
The lady checked on the system & told him that they did pay out for those 2 code but put it all under 1 code;2423.

So the paid amount on the FEDHEALTH Claims report under code 2423 is actually a pay out for 3 codes, FEDHEALTH just listed all under 1 code.

My husband explained that we have GAP cover, & they only pay out on amounts FEDHEALTH has paid out on. If there is a ZERO next to those codes they pay ZERO.
He asked the lady to please amend the CLAIMS REPORT to show that the one amount paid was actually for all 3 codes.

She said she can only try to change it at the end of the month.
My husband called her again the 1st of Nov & did not get through.

FEDHEALTH emailed us a new MEMBER CLAIMS REPORT yesterday, HOWEVER, nothing was changed! It is exactly the same as last month.

I called more than an hour ago & asked to speak with a supervisor in the hopes of resolving the matter & was told that the supervisor Christopher was unavailable & would call me back within 1 hour. He DID NOT!
I tried calling again & still no supervisor was available
Author: melamar81


Offender: Fedhealth Medical Scheme

Country: South Africa   Region: All Country   City: Cape town

Category: Health & Medicine

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