Fedhealth Medical Scheme
COVER THE DEVICE BUT NOT THE PROCEDURE?

Fedhealth is also covering the Mirena from risk as from 2013 (which is definitely a great benefit), the cost of the procedure is however covered from day to day benefits.

When my Dr submitted the claim for the procedure, they denied this. Per their policy, this is paid from day-to-day benefits but when I queried this they said this is paid from savings and my plan does not have savings, it however does have OHEB (which is called day-to-day in my policy??)

I do not understand how you can cover a device and not the procedure to insert this? The device is useless unless inserted and only a doctor can do this procedure?

Surely this does not make ANY sense Fedhealth?

Company: Fedhealth Medical Scheme
Country: South Africa
City: Call centre

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