LF
Lise F
Active since Apr 2014
66
Reviews
0
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Reviews
66 reviews3 weeks ago
Daylight ******* as Fedhealth's MO
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 reply
3 weeks ago
Nicale is a CLC superhero
What a breath of fresh air! I put in a house insurance claim last week, and was assisted by Nicale Parmanand. From the get-go it was clear that he is one of those gems that you almost never find at large companies. He was in daily communication with me, and the problem was solved and everything fixed within 3.5 business days! I couldn't believe it. Good service is so hard to find, and someone who takes his job seriously, has pride in what he does and is committed to getting results, is like a unicorn nowadays! After everything was done and dusted, I got a phone call to check that everything is in order - it was such a pleasant surprise! Wow. Thank you very much, Nicale. You deserve 6 stars! Please forward this review to your manager, so that you can get a big, fat bonus. It is staff members like you who gives your company a good reputation. Unfortunately I cannot say that same of all CLC staff members. I registered two different claims at the exact same time. In stark contrast to Nicale's handling of the one claim, his colleague who is responsible for the other claim is the exact opposite. Slow, uncommunicative, clearly not committed. After almost a week and three phone calls, all I managed was to get someone out to look at the issue. No plan, no timeline, nothing. The consultant does not even acknowledge receipt of my emails. So, CLC management, the stars that Nicale earned for your company are wiped out by staff members who are obviously not very committed. They give your company a bad reputation. I hope that you are going to reward Nicale for his commitment and address the slack behaviour from his colleague.
1 reply
4 weeks ago
Zero support or communication from Fedhealth
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.
3 replies
1 month ago
Fedhealth wiggles out of paying - again!
Another warning, in case anybody out there is considering this medical aid. I think they have a whole department thinking up ways to get out of paying claims! This story is like a bad soap opera. Early in April, almost a month ago, I had a serious and very necessary dental procedure. I had a cyst in the bone of my upper jaw that had to be removed. Note, Fedhealth, it was not a vanity project. It was an infection very close to my sinuses and my brain! (Not that you care.) I paid the invoice and then submitted to Fedhealth. Of course, they pay the low cost items, but reject the two most expensive line items, with the reason: Procedure code does not exist. Not any explanation or any information about what the correct codes must be. So I send the invoice back to my dentist. He is just as puzzled as I am, and starts phoning around. At last he gets two new codes. I submit again, with an explanatory email. I am ignored, which is standard procedure for Fedhealth's Claims Department if anything is not straightforward. I write an email to Optivest and ask for help. A very irritating man phones me with a whole long story. Basically, one of the codes is not covered under my plan, so I assume I should have done without the filling up of my upper jaw after the removal, only to have a more serious operation later down the line, aka Fedhealth logic. The other code is apparently still incorrect. I sigh and ask (according to me) some logical questions. "Why don't you just say 'Not covered' instead of 'Code does not exist?' It would have saved a lot of time." His answer? "But the code does not exist for your plan." (I don't know whether I should laugh or cry.) I try again: "Can you just give me the correct second code please?" His answer? "Please ask your dentist (who is fully booked 6 days a week) to phone so-and-so call centre." (I immediately feel my blood pressure shoot up.) Really? Have you all gone mad? If the people at Fedhealth are sitting around with have time and energy to waste, please note that some of us are actually working very hard and do not have time for your games. This is yet another tactic to make it as difficult as possible to get a claim through, especially if it is for a large amount. I am too old to change to another medical aid now, but for the young people out there. Stay away from Fedhealth. You are going to be very sorry if you decide to go with them. There are some much better options available.
5 replies
5 months ago
Grand is not better!
I really wish I could leave Fedhealth medical aid! If you are not on it yet, stay away. They are so grand, but the one thing that I really need, they cannot do: Just pay my claims! Why is that so difficult? To try and get hold of anybody at Fedhealth is like trying to place a landline call to the moon! The phone keeps ringing, their website robot cannot answer my question, their WhatsApp robot gives me a menu that is not applicable and the live chat is not working. Oh, and before you ask, yes I sent a mail - several actually - and got two answers of which neither makes sense. Can we just get back to the good old days when you could pick up the phone, get a human on the other side and sort out the problem in 5 minutes.
2 replies
5 months ago
Dotsure is part of the problem!
I am totally shocked now. My mother is on Dotsure's Superior Plan and pays R634.80 per month. She just had her female dog sterilized, on schedule as per the veterinarian's instructions. The bill was almost R4000, as expected. Dotsure paid out a full R611! When I queried this, they told me a sterilization is part of "routine wellness" like vaccinations and deworming. What a load of nonsense! We have a huge problem in South Africa with unsterilized dogs, and in some municipalities there is a bylaw now that forces you to sterilize female dogs (which is wonderful). A sterilization is not "routine wellness"! It is a necessary procedure. There are so many NPOs who are working very hard to try and get unwanted breeding under control and this is the support we get from insurers??? They are obviously more interested in making money than being part of the solution to a very real problem. We are definitely going to stop this policy! If you are considering Dotsure - read the fine print. Terrible.
1 reply
8 months ago
Clicks online: Items to the value of R800+ missing from order!
I work very long hours, so I normally use Clicks online. We live in a rural area, so I have to drive 25 min to get to Clicks Swellendam to pick up my parcel. This evening when I got home, I opened the parcel, to discover that 8 ITEMS to the value of more than R800 are missing! They are all small, so I am pretty sure they are in the possession of someone who did not pay for them. Apart from *****ing my stuff, Clicks is also wasting my time. Will not use this service again.
0 replies
12 months ago
Bex Express is unreliable!
I placed an order at a company who unfortunately uses Bex Express as their couriers. The staff at Bex **** to both me and the company were I placed the order more than once. If you are a business, please choose reliable couriers! Bex is extremely unreliable.
0 replies
13 months ago
MTN is ********* and dishonest
MTN is totally *********! They increased our one cell phone contract from R300 to R1800 overnight without any warning! When we enquired at the Swellendam branch now, they had a lot of stories. Basically they are just plain dishonest. Do not sign a contract with this company!
0 replies
13 months ago
Do not use Exclusive Books Online!
Please don't use Exclusive Books Online! I bought a digital voucher for a friend, specifically because I wanted something that will be sent to her immediately. I received an order confirmation to say that it will be delivered to my house in 5 working days! Really, how stupid can you be? No email response, no answer on any of the phone numbers on their website. So no money and no gift. Horrid! Will not touch this franchise again!
0 replies
Review Distribution
5 Star
9 (13.636363636363637%)
4 Star
1 (1.5151515151515151%)
3 Star
0 (0%)
2 Star
3 (4.545454545454546%)
1 Star
53 (80.3030303030303%)