KB
Karen B

1 reviews | Active since Dec 2011

11 Nov 2021, 10:45

Bid and mighty Discovery not too worried about one client

So disappointed. I am allowed 1 dental visit per year. In January I visited the dentist for a follow up appointment from December. I literary went in and walked out. The dentist submitted a claim, but because the claim was below the co payment amount Discovery did not pay it, i paid it. out of my own pocket. Discovery is now saying that because the claim was lodged, that counts as my one visit for the year and I cannot go again till next year. So, from my perspective, I visited the dentist and paid the bill out of my own pocket. They paid nothing, nor have they paid anything else during the year. Lucky them, they paid 0 and marked it as my allocated visit. I do understand why it shows as allocated, but ultimately I paid for that visit, and bottom line is Discovery has not spent a cent on me. Semantics. I hardly use my medical aid and asked if someone can override this and assist? I've been a member for years, surely someone can assist here, but nope, sorry, we are too big and mightily to help you poor little client!! You'll have to wait for next year. Nope, ill be finding another medical aid, again, i'm sure that wont bug you one bit, but ill feel better.

0
Replies (3)
Discovery Health
Discovery Health's reply11 Nov 2021, 12:41
Official
Dear Karen D

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 reply12 Nov 2021, 15:24
Official
Dear Karen D

We have contacted you regarding your query. 

Regards 
Discovery Health Servicing Team
KB
Karen B's update08 Feb 2023, 16:19
Reviewer Update
Oh, PS, update, belated but nonetheless. They could not assist. Their 'contact' was a phonecall to tell me exactly how they could NOT assist me. They offered for me to lodge a formal complaint to (if i remember correctly), the ombudsman, and they even sent me all the forms through. How nice of them. Sure, I'll do that whilst working full time and raising a kid on my own. Way to go, you conned a single mom out of her benefits, good for you Discovery.