FedHealth.co.za / Fedhealth Medical Aid
Reviews and Complaints

On the 20th of June Fedhealth Debited R2975 and my monthly contribution is R945 I called in and spoke to Lerato she promised me that she will send a query for refund at Finance department. I will receive an email within 48 hours confirming the refund. I waited for the 48 hours with no communication from them I called again on the 26th of June 2023 and spoke to Marry she promised that I will received an email there is a query for refund that is lodge they will communicate with me. Yesterday I called in and spoke to another consultant I requested to speak to the finance department she transferred me to Lunga he said the Refund will be done On Tuesday meaning by E.oB of the27th of June I will receive my refund.till today I have not received anything communication .they should treat their clients fairly and remember clients have other financial commitments they have made me missed payments for some of my commitments because of their debit order machine error and they can’t Resolve the issue in a reasonable time so they don’t inconvenience their Clients.. May I please have my refund ASAP and also stick to the amount that we agreed on . If they make a mistake they must rectify it immediately they receive a query they should not treat Clients like Jokes. This Lunga guys he’s very unprofessional he can’t even apologise for his mistake or take accountability.

On 19 January my membership was terminated due to no payment received. On 23 January I called to request reinstatement and was told to first pay the outstanding MediVault and send proof of payment.

I called on 25 January to follow up whether the payment proof was received and was told to send a completed health and the proof of payment, which I did on the same day.

From 25 January up to now I have made 6 calls and sent 2 emails to follow but there's still no resolution.

Goodday

I am disputing the email below. I phoned in and spoke to a gentleman and the arrangement that was made was the same as in the email in received later that day. Ref: 180722Q6B5X2 - Fedhealth. - [protected] [MI1125335978].

It seems the reason for me leaving fedhealth is to haunt me till the end. Either their is a huge communication problem or you have untrained staff giving out wrong information.

If you look at the reference I have referred to. The monies owing was supposed to be reversed. Now you saying that I owe fedhealth again. Has it taken a 18 days for fedhealth to wake up and realize that the wrong information was given.

Also, debit orders went off on the 2 Aug 22, for R5255; and R874.00. These debit orders went off after I had discussed and an arrangement was made, I therefore reversed these debit orders and phoned Fedhealth the same day. This after I received the email below, please take note of the part where it says, that an amount of R714.17 will be reversed.

I was informed that the information that was given to me was under the advice of a supervisor, so, again, FEDHEALTH has a breakdown in communication within there department. I also asked the gentleman if he was sure about the amounts. I will be lodging a complaint as this is not the first time that this has happened to me. In this year, I received an email about payments, and as it turned out, the email had no value due to the fact that the agreement was not carried out and upheld by Fedhealth and I got the raw end of the stick.

I would like to know why FEDHEALTH is not vetting their emails before it gets sent to their clients. I am waiting to hear what reasons are given.

Dear Ms ME Newey

As per telephonic conversation, the termination date was amended to the 31/05/2022.

The outstanding amount is as per below:

Contribution: R 2,707.00

Medivault: R 6,942.00

The outstanding contributions of R 2,707.00 needs to be paid by the 31/07/2022 to avoid backdating of the termination date and reversal of claims.

If claims are reversed then the member will be liable to pay for those claims.

The claims to the value of R 714.47 has been reversed.

The total outstanding medivault of R 6,942.00 can be paid over period of 4 months as per below:

August 2022 - R 1735.50

September 2022 - R 1735.50

October 2022 - R 1735.50

November 2022 - R 1735.50

The acceptance of the above arrangement needs to be sent to [protected]@fedhealth.co.za by the 20/07/2022 for it to be actioned accordingly.

Please update your personal details on a regular basis to ensure that you receive the latest updates from Fedhealth.

Should you require any additional information please feel free to visit our website www.fedhealth.co.za or alternatively contact our call centre on [protected].

Best wishes

Fedhealth Scheme Finance.

Megan Newey

Employees shouting at clients and being extremely rude. Then the junior staff decide who may speak to their superiors. This company became a joke. If you want to take a chance on a medical aid at least let it be with one that will be there to help you when needed.

My son was born in July.
On the 27th of July I summit the proof of birth and completed the form which was sent to me. A few weeks later I was sent another firm for fill out.
I was under the impression that everything was sorted out since no one called me I did however receive a email stating the form was not completely filled out but didn't state were and what.
My son was born with clubbed feet which requires him to go for a op.
So about that. Weeks ago I phone it just to check everything was ok because my son was due for his op only to find out he wasn't even on my medical aid😠😠
So still I was patient called in had them provide me with what was missing I completely it and have waited.
I have constantly been calling and checking up then yesterday I was told my son is on the medical aid but will only be active in February of next year..
How?
How?
Konwing I have provided all the information before the 30days.
I have been following this up as a customer with no calls from fedhealth.
So today was the final straw for me I called in only to he told I need to wait another 3 days what nonsense is this.
My son requires a op so he will be able to walk.
I have put is op of already by a week.
There's a time frame for this op and I can't miss it.
I need some sort of help regarding this matter

We send the cancellation form in on 31 Desember 2019 its now 2 weeks that fedhealth ignore us to send our end date papers that we gan go over to the new medical aid our new medical aid cant come active till we send them that end date paper the last time the business switch a member over it was the same problem and fight to get documentation out of them

My mum was admitted after cardiac arrest. Her cardiologist recommended an ICD to prevent a recurrence. After 5 days we still don't have approval. The matter was escalated and the Dr who was meant to respond to the cardiologist has not given feedback. This is Completely unacceptable!
Should her condition deteriorate, or she goes into cardiac arrest again, Fedhealth will be held fully accountable!
Pls call me [protected].
Membership [protected] - Divia Gopal

When my daughter was born in April 2019 fedhealth just started becoming a problem and I decided August that I'm not returning to work after maternity leave and that I will have to cancel my medical aid I called in and explained my situation also explained to them that ir would be difficult to pay the normal contribution and if I could make arrangements to then pay it off to settle the account and the guy that I spoke to said no I can I have to wait till the termination period was over than I need to call again so I waited and called again was sent from pillar to post with no answer and no help I was left unsatisfied so I sebt an email to all the email addresses I had of fedhealth and only when I threatened them saying I'm going to take them to the ombudsman that's when I got an answer but also was left with uncertainty about how much I needed to pay back to the medical aid yet again this was about 3 weeks ago I keep sending Sibusiso Xuba emails but he does not respond! Unless I threaten to take things further. Last week he was on leave u called fedhealth 3 times was kept being placed on hold for 15 to 20 minutes at a time because no one could help me and was told to wait for sibusiso to come back from leave or they will tranfere my call to a number which I guess was his where there was no answer! For such a big medical aid company your service is very bad and still to this hour nothings been resolved

I sent an application for my son on 18/09/2019 and on the email advised that he is only covered on my medical aid until 30/09/2019. Nobody got back to me until I started calling last week distressed about my son being covered from the 1st of October.

I received an email on Friday asking for 3 month's bank statements and payslips for August. On Monday morning and afternoon respectively I email the requirements. Followed up after 3 pm and the lady said she escalated for urgent processing.

Today I call and spend 19:30 minutes on the phone as my son is not covered at the moment. After all this time the lady wants to tell me that they are still waiting for the payslips. This is simply unacceptable that clients have to beg a provider to get business. Is Fedhealth so big that they don't want new young clients on the book?

Emailed all documents to a team leader called Mannie, he was going to send me something by yesterday afternoon or this morning. Nothing. I complained on Hello Peter on 01/10/2019. Just received a call from Gugu saying that she saw my complaint, but they still waiting for the payslips.. THIS IS AFTER I HAVE SENT IT NUMEROUS TIMES.

On Friday the 20/09/2019 I received an email from fedhealth advising that i have a refund of my savings due to me and it will be processed by the 25th of september.I then contacted Fedhealth to enquirer which details this refund was processed into due to the following reasons
- I have left the scheme for 13 months and since leaving the scheme nobody had contacted me regarding my membership
- No body from credit control had contacted me to confirm my banking details prior the refund being processed

After contacting the call center, the agent advised that they were paying into a STD bank account and that i should email the valid banking details to them and also attach my bank statement.

I was very upset and disappointed with the carelessness of the fedhealth credit control department, because its my previous employer that used to pay the funds to the scheme and nobody from their credit control department contacted me to confirm if the details which they were provided 3 years ago were still valid.

None the less, i emailed the information to the general mailbox and received a query number : 200919QMTKLS and another query number : 200919QMTNXL (these were received an 30 minutes apart)

On Monday morning, i received an email from the consultant advising that the payment was processed and my banking details only came after.I then contacted the call center to advise them to cancel the refund and process into the correct acoun and i was advised that I would have to speak to standard bank due to the funds being processed.

1.My question is, after a member having left the scheme for 13 months, how can credit control just process funds into an invalid account without notifying the account holder to verify if the details are correct ?

2. in terms of the TFC, i haven't been treated fairly as a customer. I didn't receive any communication from the organisation prior the payment, nor did any consultant try to contact me to verify my information prior processing the payment.

3. This credit control team is very negligent in processing payments, why didnt the supervisor or manager pick up that its been over a year since i cancelled the membership and no contact had been made with me. Who processes a payment blindly into a persons account just because its on the system, its doesnt mean its correct and valid especially considering that no contact has been made with the personnel to confirm their existence and validity of the account.

Fedhealth MUST reverse the payment made into the std account and pay into the correct details provided. Whether std bank honors the payment or not, its not my responsibility to be calling the bank to rectify the monies to be transferred to me for what ever reason.

I trust my complaint is received in order.

Currently we are not happy with the service received from Fedhealth.

Firstly, we contacted Fedhealth on 11.07.2019 to request a Record Amendment Form (reference for call 110719QJ7042).
We were told that we just have to complete the form and submit it back to Fedhealth.
Then on the 12.07.2019 we received an email stating extra documents, ID's and letters were to be submitted.
Why was this not included in your first email?
On 15.07.2019 we submitted all the extra documents, ID's and letters as requested.
Secondly, only upon my follow up to Fedhealth on 18.07.2019, we were informed that the member to be terminated has a one month calendar notice period of termination.
This is all good and well, but should the member only be terminated on 31.07.2019 we have asked to please update the change of new banking details to take effect as from 01.09.2019
My question is, why can't all the information be submitted and explained to members upon their first request?
Now that the documents have been completed with our required dates, you change it.

All we want is confirmation of new debit to only take place on 01.09.2019

Oh my goodness
Where do I start

Changed my plan after multiple calls, sent confirmation letter in Nov (after I paid a whole year of maternity scans and doctor visits from my pocket in excess of R7000)

Received confirmed letter this was done

Messed up and rejected my casualty claim in December because they captured the wrong date
5 calls later finally paid

Changed my surname from getting married, said they delivering card for 2 months never recived changed address to get card delivered waiting 3 weeks plus

1 January they changed my plan to a lower one again and cancelled medivault 5 calls later finally sorted

Submitted 2 claims for 5 and 9 Jan that I paid out of pocket, they processed rhe one from 5 Jan but paid the supplier instead of refunding me as requested

Called in got a reference number still not recrified

To whom it may concern

I am currently on the Blue door option of Fedhealth medical aid, my monthly premium increased this year by 52% from R1070 to R1615 which is absolutely rediculous, my salary increased from R9000 to R10500 in August 2018.

I can't see how the medical board could approve this increase, please investigate and explain.

Kind regards
Merle Ribeiro
Plan number [protected] - Blue door.

I am from a brokerage. My client is with momentum and wanted to take medical aid with fedhealth but before he goes over he 1st wanted to know if there will be any exclusions or waiting periods. Fedhealth told and emailed us and said that they can't tell us if there will be any exclusions or waiting periods if his previous membership certificate (momentum certificate) doesn't have a end date. He doesn't want to continue with fedhealth at all. He received a message that fedhealth will be activated on 01 jan 2019. I called fedhealth and the guy it will be terminated but afterwards my client received a mail to say it will be activated. This is ridiculous.

On the 11 September I broke my foot at the gym and went to ER. FEDHEALTH refuses to pay for anything, i was advized to ask for a late authorization which i submitted in September and when i ask for feedback they told me the authorozation was only sent on the 12 Nov 2018. Doctors are calling needing to be paid and im already paying out of my pocket and they reject the claims. Client service is poor, all they care about is on boarding clients and not even explaining. I want my bills paid and and explaination as to why so many people are complaining about FEDHEALTH service.

My Fedhealth memebership no. [protected]. My daughter has a heart condition recognized by my medical aid as a PMB. on 27 Sept. 2018 we took her for her annual checkup with the pediatric cardiologist as required. Fedhealth only paid half the bill and sighted wrong codes for not making full payment. We resubmitted the claim with the correct codes, only for them to reverse the whole claim stating that the amount paid in the first instance was paid in error because we never got a referral letter from a GP first before we went to consult with a specialist. This is news to me! They already know the child has a heart condition which is chronic, why should we have to go pay a GP just for them to refer us to a specialist? Besides, if this were the case, why is it not stipulated in the correspondence they sent me regarding her PMB condition? I spoke to a call center agent at Fedhealth who was adamant that I should have looked at their brochure?

I would like this claim to be settled in full as the reasons given to me for none payment do not make sense at all.

Please see correspondence below from one of your agents. She has been unhelpful, vague and does not explain things properly. She has even questioned if our GP's actually exist and on the first question I raised, she simply accepted my mail without the decency of further explanation. and simply said she will cancel the membership with immediate effect. is this the type of service one gets from Fedhelath?

See correspondence below:

Good day Shaun,

I do not pick up the doctor on the network. Is there any doctor?

Kind regards

Ariana Jansen Van Rensburg

Hi Ariana

We have been making use of Dr Ilsley and Welsh since we have been in Johannesburg for 20 years.

Attached two recent invoices which you can call yourself to confirm.

Regards Shaun

Good day Shaun,

Unfortunately, we don't have the doctors on the network.

Remember, while you guys have savings, you can use any doctor of your choice. It is only when the savings is finished that you need to use the network GP's.

Kind regards

Ariana Jansen Van Rensburg
Agent; Direct Sales

Hi Ariana

We only use these GP's and have been for years. If we are unable to use our own GP's I would prefer to cancel the membership with immediate effect.

Regards Shaun

Good day,

No problem, will cancel the medical aid as per your request.

Kind regards

Ariana Jansen Van Rensburg

Ariana

You have been nothing but unhelpful. I have told you on several occasions that we can only use our GP's, yet you persist in telling me I am unable to use them without explain exactly what my options are. You have even gone as far as to suggest that we are fabricating this by directly asking is there such a DR?

I did not say cancel the membership outright I said cancel it if I am unable to use my GP. On reading your mail further you say something about we may use our GP's if we have savings. Instead of cancelling a prospective family's membership, you would think as a sales executive you would try and retain them and explain in more detail what the options are.

Your lack of detailed explanations is outright rude and this needs to be sent to your Manager.

I am also waiting for the documentation you said you would send explaining exactly what my membership options entails. I have received nothing to date.

Shaun

I am a member and was in hospital patient. According to my plan I am supposed to be covered in hospital for pathology blood tests. However this was not the case. I have sent numerous messages with no contact from fedhealth to solve the matter. I am extremely upset as its false advertising. Now I am sitting with a bill that the plan promised will be 100% covered?

Good afternoon I joined fedhealth in July and I have been getting a raw deal since I have been phoning for so long without getting help when I joined them I was on maxima entry zone then I changed my option to maxima entry saver no one called or emailed me to tell me that it had changed I made an effort to call them to confirm if my medical aid was active and when and how much will they debit the consultant told me the debit order of 3700 was loaded and I was not worried cos that was my premium then my husband goes to see a gp only to be told that the medical aid was suspended then I get an SMS to say I have an outstanding amount of 800 due to medical aid I even got an SMS from fedhealth towards month end of July saying a debit order of 3700 was going to come off on the 1/08 why is the medical aid suspended when people are not doing their jobs I'm so upset its really not fair why should we suffer when people don't do their work I have been phoning then since Wednesday and they say they won't remove the suspension

Good day,

The below email was send to Fedhealth on the 06.07.2018. After numerous attempts to sort out my Sanlam Reality registration.
(Start of mail send to Fedhealth on the 06.07.2018) "I have phoned Fedhealth spoke to a consultant, PITY I can't remember the name as she did not even give me a chance to get a reference number or anything. She put me on HOLD, and the next moment I spoke to a gentleman by the name of Trevor, which really tried to help but the problem is at FEDHEALTH.
Then I was requested to complete an application form AGAIN! And I said no, I will not.
See attached is my application form that was completed and I have sent it to Anthea Herbert at Sanlam Reality.
I am trying to get my Sanlam Reality active. Please! If this can't be done. Then let me know. I will then go somewhere else where I will be treated fairly.
I really do not appreciate the service that I am getting. Fedhealth blames Sanlam Reality and Sanlam Reality blames Fedhealth. I have joined Fedhealth as I heard that you not just a number - Clearly I heard wrong!
Can someone in a managerial position contact me before end of day today the 06th of July 2018 to resolve my issue. " (End of mail that was send to Fedhealth on the 06.07.2018)
Today is the 10th and NO ONE from Fedhealth is responding. I contacted Anthea Herbert from Sanlam Reality she personally re-submitted all paperwork AGAIN and she told this morning she can't understand why Fedhealth is not registring me.
Worst part is I asked or a senior person to please contact me. And up to now NO ONE from Fedhealth is helping me.
My Sanlam Reality was cancelled on the 8th of May. Not by me. First the reason given to me by the consultant it was a system error. She will come back to me - never Came back second person said it is due to debit order not going off due to insuficient funds. I have asked for when as i ALWAYS have money in my account. I even said I can send prove of my bank statements. Did not come right Fedhealth states it is Sanlam Reality problem and sends me back to them. Sanlam Reality states that it is Fedhealth. In the meantime lost my points I gained and now must start over. I have submitted my application more than a month ago. I have attached my application on my query send to Fedhealth on the 06.07.2018 AND Anthea Herbert from Sanlam Reality have submitted it.

Please can YOU help me to get my Sanlam Reality activated.

Membership number: [protected]