ID
Irvin D

1 reviews | Active since Aug 2025

05 Aug 2025, 11:49

Excuses To Reject Claims

I went for an eye test at the optometrist on the company's network of providers and have a valid script sent directly from the optician detailing the need for glasses. After selecting the frames and sending everything off, I get an email stating that my script does not match the criteria for them to cover it. Bear in mind, I have signed policy documents that in no way provide any of this "criteria". I have paid my policy every month, and the one time I need to use a benefit, this happens. After paying over R6000 in premiums, getting push back on a claim of R1000 tells me all I need to know.

You are better served saving your money and spending out of pocket, or trying another company, but Dischem is not it. Stay away!

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Replies (1)
Dis-Chem Health (Medical Insurance & Gap Cover)
Dis-Chem Health (Medical Insurance & Gap Cover)'s reply11 Aug 2025, 10:02
Official
Irvin, we are so sorry to hear about your claim experience with us. We have escalated to the relevant department, and we will reach out to you as soon as possible.