FM
Fedhealth Medical Scheme
Verified Business
FM
Rated in:
Scores reflect the Overall AI Score for each category
Scores reflect the Overall AI Score for each category
Based on recent customer reviews, Fedhealth Medical Scheme is described by members as a deeply frustrating medical aid where promised benefits, network coverage, and timely authorisations frequently fail at the moment of need. Members report widespread issues with claims rejections, communication breakdowns, billing errors after cancellations, and opaque plan terms. A small number of positive interactions exist, but the overwhelming sentiment is one of distress and disillusionment.
TrustIndex
2.4
Ranking
#23
in Medical Aid
NPS Score
-72
Recommended: Unlikely
Jul '25 - Jun '26
Based on recent customer reviews, Fedhealth Medical Scheme is described by members as a deeply frustrating medical aid where promised benefits, network coverage, and timely authorisations frequently fail at the moment of need. Members report widespread issues with claims rejections, communication breakdowns, billing errors after cancellations, and opaque plan terms. A small number of positive interactions exist, but the overwhelming sentiment is one of distress and disillusionment.
The most common complaint about Fedhealth Medical Scheme, based on Hellopeter's AI analysis of recent customer reviews, is Claims Processing & Authorisation. Claims Processing & Authorisation (1.1) is the most damaging theme. Members describe rejected emergency claims, denied PMB procedures, pre-authorisation delays of days during medical crises, and shifting reasons for declines. Patients report being removed from hospital mid-investigation and forced to government facilities.
Used this business recently? Share your experience to help others decide.
Used this business recently? Share your experience to help others decide.
Share Your Experience1 reviews | Active since Jan 2020
I have been trying to do a new membership online, according to their "Outsourced" brokers the online portal to do new applications do not work so you have to do it through Fedhealth brokers. Really seems they not needing any new members.
1 reviews | Active since Jan 2020
I have been trying to do a new membership online, according to their "Outsourced" brokers the online portal to do new applications do not work so you have to do it through Fedhealth brokers. Really seems they not needing any new members.
1 reviews | Active since Jan 2020
I had the misfortune of having 'Claudine' assist me with a query telephonically. When she was unable to assist me, very rudely, I may add, I asked for her full name, which she refused to give me. I asked to speak to her manager, and she refused to transfer me. Her telephonic skills are appalling and her incompetency unequalled. This experience makes me very wary of dealing with Fedhealth Medical Scheme, as if this is the quality of their staff, I feel that they would not be able to effect competent service with regard to medical aid.
1 reviews | Active since Jan 2020
I had the misfortune of having 'Claudine' assist me with a query telephonically. When she was unable to assist me, very rudely, I may add, I asked for her full name, which she refused to give me. I asked to speak to her manager, and she refused to transfer me. Her telephonic skills are appalling and her incompetency unequalled. This experience makes me very wary of dealing with Fedhealth Medical Scheme, as if this is the quality of their staff, I feel that they would not be able to effect competent service with regard to medical aid.
1 reviews | Active since Jan 2020
It is now exactly 54 days since I submitted a claim from my dentist, without any resolution! I have sent emails to all the possible email addresses I can find, including Fedhealth's ombudsman (who is apparently living on the moon, with no cell reception). This is the third Hello Peter review I am writing about the same matter. You just get an automated response, and that is it. If you try to phone or WhatsApp, you get a robot. I even harassed them on their Facebook page, but nothing. If you email, you get a reply that they could just as well have written in Greek, because it makes no sense whatsoever. And different departments give different answers! Bottom line is that they do not want to pay. The lengths to which this company will go to work their members over, is astonishing!
1 reviews | Active since Jan 2020
It is now exactly 54 days since I submitted a claim from my dentist, without any resolution! I have sent emails to all the possible email addresses I can find, including Fedhealth's ombudsman (who is apparently living on the moon, with no cell reception). This is the third Hello Peter review I am writing about the same matter. You just get an automated response, and that is it. If you try to phone or WhatsApp, you get a robot. I even harassed them on their Facebook page, but nothing. If you email, you get a reply that they could just as well have written in Greek, because it makes no sense whatsoever. And different departments give different answers! Bottom line is that they do not want to pay. The lengths to which this company will go to work their members over, is astonishing!
1 reviews | Active since Jan 2020
Fedhealth is has notable challenges in the effective resolution of client issues, particularly reflected in prolonged turnaround times and inconsistent communication. Clients are often required to follow up multiple times before receiving feedback. Additionally, there appears to be a systemic gap in how client support is delivered. Communication from service representatives frequently assumes that clients possess a level of medical knowledge that they do not have. I always get Technical or clinical terminology answers that is used without sufficient explanation, leaving us unsure about my own cases, benefits, or next steps. Rather than being guided through processes in a clear, supportive, and empathetic manner, I am expected to interpret complex medical or administrative information on my own. This approach creates unnecessary barriers to access and leads to confusion, misinformed decisions, and repeated queries—which further contributes to delays in resolution. 190526QLJP1V - 150526QLDNLH - 150526QLBZZP - 240326QH3ZV8
1 reviews | Active since Jan 2020
Fedhealth is has notable challenges in the effective resolution of client issues, particularly reflected in prolonged turnaround times and inconsistent communication. Clients are often required to follow up multiple times before receiving feedback. Additionally, there appears to be a systemic gap in how client support is delivered. Communication from service representatives frequently assumes that clients possess a level of medical knowledge that they do not have. I always get Technical or clinical terminology answers that is used without sufficient explanation, leaving us unsure about my own cases, benefits, or next steps. Rather than being guided through processes in a clear, supportive, and empathetic manner, I am expected to interpret complex medical or administrative information on my own. This approach creates unnecessary barriers to access and leads to confusion, misinformed decisions, and repeated queries—which further contributes to delays in resolution. 190526QLJP1V - 150526QLDNLH - 150526QLBZZP - 240326QH3ZV8
1 reviews | Active since Jan 2020
I am writing to formally raise a complaint regarding the handling of my medical aid application and the lack of communication around my debit order. When I joined last month, I was advised that my debit order would be processed on the 2nd of May, as the 1st was a public holiday. However, no debit was processed, and I did not receive any communication indicating that the debit had failed or that there was any issue with my account. Due to this lack of communication, I was under the impression that my application had not been successful or that my cover was not active. As a result, I did not budget for a payment for May. Only when I follow up to find out if I have a over I have now been informed that the debit order did not go through, and that I am required to make payment for May. I find this concerning, as I was not notified of any failure or given an opportunity to address the issue at the time. I kindly request the following: Written confirmation of whether my cover was active during May A clear explanation as to why no communication was provided regarding the failed debit Consideration whether I can restart my cover from June instead or alternative solution, as I am currently unable to make the full payment due to the circumstances I trust that this matter will be handled fairly, taking into account the lack of communication and the misunderstanding it caused. I look forward to your prompt response.
1 reviews | Active since Jan 2020
I am writing to formally raise a complaint regarding the handling of my medical aid application and the lack of communication around my debit order. When I joined last month, I was advised that my debit order would be processed on the 2nd of May, as the 1st was a public holiday. However, no debit was processed, and I did not receive any communication indicating that the debit had failed or that there was any issue with my account. Due to this lack of communication, I was under the impression that my application had not been successful or that my cover was not active. As a result, I did not budget for a payment for May. Only when I follow up to find out if I have a over I have now been informed that the debit order did not go through, and that I am required to make payment for May. I find this concerning, as I was not notified of any failure or given an opportunity to address the issue at the time. I kindly request the following: Written confirmation of whether my cover was active during May A clear explanation as to why no communication was provided regarding the failed debit Consideration whether I can restart my cover from June instead or alternative solution, as I am currently unable to make the full payment due to the circumstances I trust that this matter will be handled fairly, taking into account the lack of communication and the misunderstanding it caused. I look forward to your prompt response.
1 reviews | Active since Jan 2020
The last thing anybody who had a heart attack, and who is now required to go for a heart operation, wants is to wait for more than a week to get an authorisation. It has been over a week since my authorisation was submitted by the specialist cardiologist and Fedhealth has still not recorded it on their system, nor provided me with any feedback. With hours left before my surgery this poor service is beyond unacceptable.
1 reviews | Active since Jan 2020
The last thing anybody who had a heart attack, and who is now required to go for a heart operation, wants is to wait for more than a week to get an authorisation. It has been over a week since my authorisation was submitted by the specialist cardiologist and Fedhealth has still not recorded it on their system, nor provided me with any feedback. With hours left before my surgery this poor service is beyond unacceptable.
1 reviews | Active since Jan 2020
By Far the worst medical aid I have ever been with. I've been waiting for my own money back for almost an entire month now. Numerous phone calls , wasting my own airtime and the service I am getting is disgusting! If any advise i can give anyone don't join Fedhealth medical aid , you pay way too much for medical aid to get this pathetic service. Rather join Bonitas or any other service provider. I'm sure they will respond to this review with a generic answer " One of our consultants is busy dealing with your query" I'm being told the same BS over and over.
1 reviews | Active since Jan 2020
By Far the worst medical aid I have ever been with. I've been waiting for my own money back for almost an entire month now. Numerous phone calls , wasting my own airtime and the service I am getting is disgusting! If any advise i can give anyone don't join Fedhealth medical aid , you pay way too much for medical aid to get this pathetic service. Rather join Bonitas or any other service provider. I'm sure they will respond to this review with a generic answer " One of our consultants is busy dealing with your query" I'm being told the same BS over and over.
1 reviews | Active since Jan 2020
This is futile, because Fedhealth Medical Scheme is not interested in helping their members. They are only interested in making money off us. Like milking ***s. Disgusting. Twelve days and multiple emails later, and I am still waiting for a response. They tried to call me once, after I explicitly stated in an email that I work during the day. I also sent an email to let them know we had a terrible storm and all the cell towers went off, so can they please communicate via email. Nothing. I think we should all report them for false advertising. There is a lot of talk on their website that is just outright lies.
1 reviews | Active since Jan 2020
This is futile, because Fedhealth Medical Scheme is not interested in helping their members. They are only interested in making money off us. Like milking ***s. Disgusting. Twelve days and multiple emails later, and I am still waiting for a response. They tried to call me once, after I explicitly stated in an email that I work during the day. I also sent an email to let them know we had a terrible storm and all the cell towers went off, so can they please communicate via email. Nothing. I think we should all report them for false advertising. There is a lot of talk on their website that is just outright lies.
Fedhealth Medical Scheme scores 1.3 out of 5 on Hellopeter's AI analysis of service quality in Medical Aid, compared to the Medical Aid industry average of 1.8. Their strongest theme is Customer Service (1.4); their weakest is Claims Processing (1.1). The top AI-rated Medical Aid business on Hellopeter is AGS Health (4.3). How is the AI Score calculated? →
Fedhealth Medical Scheme has a TrustIndex of 2.4 out of 10 on Hellopeter, based on 207 reviews in the last 12 months. Hellopeter has tracked Fedhealth Medical Scheme across 3,575 total reviews. How is the TrustIndex calculated? →