TM
Tebello M

1 reviews | Active since Feb 2018

12 Feb 2018, 18:50

Bad advise and service

I joined discovery health from Bestmed. Was told to be 3 month General waiting period.I ask the consultant Cassius *****ya will not advisable to continue with Bestmed until waiting period is done. He declined and said I will be covered for emergencies not planned visits. Guess what now I have emergency my child has nose abscess that is painful, and needs to drained, I am told that it is not classified and an emergency and claim is rejected cause that is not classified as emergency. Can doctors in Discovery Health please explain. Cause call centre only tells me that the code is not under emergency

0
Replies (3)
Discovery Health
Discovery Health's reply13 Feb 2018, 07:26
Official

Dear TebelloTibi

We’ve noted your concerns and we’re investigating the matter. We’ll contact you with feedback as soon as possible.

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply14 Feb 2018, 15:00
Official

Dear TebelloTibi

We have been in touch with you to answer your comments.

Regards
Discovery Health Servicing Team

TM
Tebello M's update14 Feb 2018, 15:23
Reviewer Update
Mikella Maio from discovery, indeed called me, and the issue was resolved. Mikella was very very persistant to get hold of me she called about six times, the line was not clear, it was cut off, but she called again. This is was excellent service. As for Discovery not being able to cover this as emergency, this might be because of the code that the hospital loaded the diagnosis. She send me the forms for doctor to fill in and the discovery will evaluate and make a decision. Once again Thanks Mikella