1 reviews | Active since Oct 2015
Anglo MS medical aid Scheme (Discovery Health Administrator) pays only R700 of R10799 of Emergency root canal treatment.
Good day Discovery Health Medical aid (Anglo MS) is my employers medical aid service provider (Anglo American). I had an emergency root canal treatment done on the 15 Sept 2020 and it cost me R10 799. I sent the claim to medical aid (Anglo MS- standard care plan) and I spoke to call centre today and they advised that the Dental risk dept will only pay R700 to me based on dentist not being part of their network. I'm so frustrated and angry because surely the analysis of claim should also look at the emergency and extent of treatment?? not just network policy.....nonetheless I will be recommending to my employer, Anglo American about this and will complain about this claim and the service i've received from Discovery Health as the administrator of this Anglo MS scheme. I want to escalate this to the Discovery Health claims dept to re-review my claim and provide feedback. regards Natassia Ramkishwar
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Discovery Health Servicing Team
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Discovery Health Servicing Team
