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1 reviews | Active since Jul 2012
17 Apr 2015, 11:51
BREACH OF CONTRACT
I HAVE A HOSPITAL PLAN<br> RECENTLY I HAD AN ACCIDENT AND NEEDED SHOULDER SURGERY<br> THE DR PROVIDED ALL TE CODES WHICH INCLUDED A SLING AS PART OF THE PROCEDURE. <br> THE ORTHOPAEDIC SLING IS A M U S T TO WEAR 24/7 FOR 6 WEEKES TO R E S T O R E FUNCTION.<br> IT IS NOT A COSMETIC THING-IT ASSISTED HEALING OF A MUSCLE<br> WHEN THE ACCOUNT WAS CLAIMED BY THE ORTHOPAEDIC PRACTISE DISCOVERY DECLINED IT-REFUSE TO PAY.<br> I HAVE SEND A COMPLAINT SO DID THE BROKER-ABSOLUTELY NO RESPONSE.<br> WHY DO WE PAY OUR MEMBERSHIP<br> WHY DO THEY AGREE TO PAY AND SEND A CONFIRMATION NUMBER TO THE PARTIES INVOLVED AND AFTERWARDS DECLINE THE CLAIM<br>
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Discovery Health's replyOfficial
23 Apr 2015, 11:24Hello a0000,
Thank you for your comment.
We have tried to contact you however you were not available to take our calls. I investigated your query and expenses that are not paid as part of the hospital event, such as medicines to take home and medical devices are funded from members available day to day benefit. Should the members plan not have an available day to day benefit the costs will be the members responsibility. We do communicate this when the authorisation is requested.
While I do understand that you may not be satisfied with the outcome to your query it is in line with the Scheme rules.
Kind regards
Jashvir
Thank you for your comment.
We have tried to contact you however you were not available to take our calls. I investigated your query and expenses that are not paid as part of the hospital event, such as medicines to take home and medical devices are funded from members available day to day benefit. Should the members plan not have an available day to day benefit the costs will be the members responsibility. We do communicate this when the authorisation is requested.
While I do understand that you may not be satisfied with the outcome to your query it is in line with the Scheme rules.
Kind regards
Jashvir
Discovery Health's reply23 Apr 2015, 11:24
Official
Hello a0000,
Thank you for your comment.
We have tried to contact you however you were not available to take our calls. I investigated your query and expenses that are not paid as part of the hospital event, such as medicines to take home and medical devices are funded from members available day to day benefit. Should the members plan not have an available day to day benefit the costs will be the members responsibility. We do communicate this when the authorisation is requested.
While I do understand that you may not be satisfied with the outcome to your query it is in line with the Scheme rules.
Kind regards
Jashvir
Thank you for your comment.
We have tried to contact you however you were not available to take our calls. I investigated your query and expenses that are not paid as part of the hospital event, such as medicines to take home and medical devices are funded from members available day to day benefit. Should the members plan not have an available day to day benefit the costs will be the members responsibility. We do communicate this when the authorisation is requested.
While I do understand that you may not be satisfied with the outcome to your query it is in line with the Scheme rules.
Kind regards
Jashvir