RK
Rene K

1 reviews | Active since Feb 2017

13 Jul 2022, 13:54

Not paying my wellness benefit

I have been sent back and forth trying to claim back my health assessment i did at a dischem branch like I do every year, apparently this year is a problem. I have now submitted documents 4 times everytime there is an issue with something, really just an excuse not to pay, I called 2 weeks ago to ask if this comes out my savings and I was advised I do have a annual checkup and that this health assessment will come from that benefit. I just called the call centre to ask why it has taken 9 days for anyone to respond and was advised they will reject it again as you dont see this as a valid claim. I want my money back for my health assessment, I called prior to ask if I have cover and was advised I do, I want my money reimbursed today im tired of waiting. I pay for peach of mind and it seems like Im not getting it and Im now very worried when I give birth in a hospital I wont have cover with this medical aid! Not impressed Im not going to submit another proof of payment

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Replies (1)
CompCare Medical Scheme
CompCare Medical Scheme's reply13 Jul 2022, 14:19
Official
Dear Rene

Please see below:
Please be advised that we picked up the member's enquiry earlier today and have sent an email response to the member. The pharmacy claim was rejected because Dischem sent through the claim with a Discovery wellness benefit instead of CompCare with invalid codes, the claim was therefore rejected as a scheme exclusion. We have asked the provider to email us an amended claim with the correct CompCare information needed for the claim to be reviewed.

Kind regards
The CompCare customer experience team