New Claim

If the healthcare professional or the hospital claims on your behalf

Your healthcare professional usually sends your claim to us on your behalf. In this case, you do not need to claim as well. If your healthcare professional tells you that they have not been paid, you can check your claims right here.

 

If you need a refund because you paid the medical expense

If your healthcare professional does not claim on your behalf, or if you have already paid, you can submit the following right here:

  • proof of payment

  • the claim (the account). Make sure the account shows:

    • your membership number the ICD10 and procedure codes

    • the practice number.

If we approve the claim according to the scheme rules, Fedhealth will refund you directly into your bank account. You must make sure that we have your correct bank details. To update your bank details, call us on 0860 002 153 or email member@fedhealth.co.za

 

You must claim within four months of the date of the treatment

The scheme will only consider claims that we receive within four months of the treatment date. We process claims that we receive


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Disclaimer

The information displayed on this page, is displayed in accordance with the membership status or account information at the date of enquiry and may be subject to change due to, for example, claim reversals. Whilst every effort has been made to provide accurate and complete information, neither the Scheme, its contracted Administrator and/or the website administrator, any of its staff or its agents will be held responsible for any omissions, errors or changes