NC
Nancy Chester-browne

1 reviews | Active since Feb 2018

08 Feb 2018, 16:27

Claim rejection

I am totally disgusted with Discovery medical aid.

My 6 year old grand daughter had surgery this morning (08/02/18)

She has to have growths removed on her legs and arms (mollusca contagasua). It is too painful to be removed under local anaesthetic. .. (doctor says the nitrogen will feel like a 10000 hornet stings ) . Can you believe that the medical aid refuses to pay as this op has to be performed by dermatologists. A normal gp was unable to diagnose this problem and we were referred to specialist. It has to be done as highly contagious. They say it is a cosmetic procedure How can it be cosmetic for a 6 year old that is in agony.!!!!!!! . Her thighs skin looks like " toad skin" and started spreading to rest of body . . The dermatologist sent letter of recommendation to discovery. .. but rejected.... there is no way this procedure could have been done at government hospital

0
Replies (8)
Discovery Health
Discovery Health's reply08 Feb 2018, 16:56
Official

Dear Nancy Chester -Browne

We’re sorry to hear you’re dissatisfied. Please give us a chance to look into your query and we’ll be in touch soon.

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply09 Feb 2018, 13:19
Official

Dear Nancy Chester -Browne

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

Regards
Discovery Health Servicing Team

NC
Nancy Chester-browne's update12 Feb 2018, 23:27
Reviewer Update
I was contacted by someone from your offices on a 041 number . I followed their advice and the doctor has forwarded docs to authorizations dept. . Thank you. I look foward to hearing from your offices again
NC
Nancy Chester-browne's update15 Feb 2018, 09:40
Reviewer Update
Phoning me was appreciated BUT my problem not solved.. feedback would be appreciated. Thank you
Discovery Health
Discovery Health's reply19 Feb 2018, 12:44
Official

Dear Nancy Chester -Browne

We have been in touch to answer your comments.

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply19 Feb 2018, 12:48
Official

Dear Nancy Chester -Browne

We have been in touch to answer your comments.

Regards
Discovery Health Servicing Team

NC
Nancy Chester-browne's update10 Mar 2018, 10:59
Reviewer Update
Hi Discovery rejected claim.. we had no choice as it was spreading ., so we went ahead with procedure and had to pay R12000 cash to hospital. I then complained on hello Peter and they quickly responded and said that they had approved it but didnt let us know. They said doctor must re-submit authorization request and they will pay .We did all this. I have now received an email say they cannot pay as we went to a hospital not approved by them and it is our fault they not paying. BUT original claim was rejected so we went to hospital where we could immediate (and cheaper) surgery... Now they feel justified in rejecting claim. Good for You discovery health. . Can anyone recommend an alternate medical aid as we will be cancelling with discovery. I come from a large family and huge circle of friends and I am convincing Every one to go elsewhere..
Discovery Health
Discovery Health's reply12 Mar 2018, 07:29
Official

Dear Nancy Chester -Browne

We’re sorry to hear you’re dissatisfied. Please give us a chance to look into your query and we’ll be in touch soon.

Regards
Discovery Health Servicing Team