bB
busisiwe B

1 reviews | Active since Aug 2020

02 Aug 2022, 19:07

Claim not paid in full

What a mess!!! I was admitted to the hospital for a bio-scope and according to my knowledge, the medical plan I have has an unlimited hospital plan. The doctor advised that I need to pay in cash and I will claim from Discovery due to the policy that they have implemented. I claimed the money back from Discovery and they only paid a third of what I have paid. I called to enquire about their decision and I was told that the doctor used the wrong code and Discovery pays a certain fee, not the whole amount. The explanation I got was unsatisfactory and unhelpful for me to understand. I still don't understand why my money was not paid in full because the reason I was admitted to the hospital for the doctor to do a bio-scope. I literally paid the doctor and Discovery paid the hospital. I DON’T NEED ANY EXPLANATION NOW AND I JUST WANT MY MONEY BACK.

0
Replies (4)
Discovery Health
Discovery Health's reply03 Aug 2022, 07:33
Official
Dear Busisiwe B We’ve noted your concerns and we’re investigating the matter. We’ll contact you with feedback as soon as possible. RegardsDiscovery Health Servicing Team
Discovery Health
Discovery Health's reply03 Aug 2022, 15:08
Official
Dear Busisiwe

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

Regards
Discovery Health Servicing Team

bB
busisiwe B's update25 Aug 2022, 21:22
Reviewer Update
I am still not happy with the response I got from Discovery regarding my outstanding payment. I still don't understand the reasoning behind asking the Doctor if he is registered with Discovery while I was in pain so that the hospital can look for a specialist who is Discovery registered. My hospital admission was approved because it was an emergency and the hospital plan was supposed to take care of that. I'm in awe that my admission was approved with conditions and now I know that on my death bed I need to ask questions in order for me to get help. Looking forward to the price increase.
Discovery Health
Discovery Health's reply02 Sept 2022, 13:25
Official
Dear Busisiwe

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

Regards
Discovery Health Servicing Team