HK
Hannelie K

1 reviews | Active since Jan 2016

04 Jan 2016, 11:36

Authorize procedure and then not pay

I was sent for a MRI scan by my specialist. I phoned Discovery and they confirmed that they will pay for the procedure and gave me an authorization number. Not mentioning that they will only pay a portiion of that. I ended up with an unpaid amount that I am liable for of R8816.... How can they give an authorization number if they are not going to settle the account.... That is one of SO many unpleasant surprises i got from Discovery,

0
Replies (1)
Discovery Health
Discovery Health's reply06 Jan 2016, 08:39
Official
Hello Hannelliek,

Thank you for taking my call yesterday. Your plan offers day-to-day cover; however this procedure is subject to the available Specialist Benefit Limit.

In this instance, the limit at the time of processing this claim was not sufficient to cover the cost of the claim in its entirety.

I have sent you an e-mail outlining the details of this query and await your response, should you have any additional queries regarding the matter at hand.

Regards,

Ernst