1 reviews | Active since Aug 2016
Claims declined
Hello friends on discovery medical aid scheme, and those who left. I am one of them on Essential Saver with benefits such as 4 network GP visits when out of MSA(Medical aid Savings Account) funds. Guess what: I went for a consultation with a network GP using funds available in my Medical Aid Servings account in late 2020. When I realized my condition was getting worse after a few weeks I went to the same GP to have a review of my condition. When the GP submitted a claim for my review Discovery declined the claim saying I should have gone through a Pharmacy clinic and get a referral from a Pharmacy nurse for my follow-up consultation with a network GP to be approved --- I find it difficult to understand. I called 2 consultants they can only say that's what the policy says. Nowhere in their huge documents is it written that even if it's a follow-up consultation you go through a referral. Why would someone have to go through a Pharmacy clinic for a follow-up consultation with a network GP? ridiculous.
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
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
We have been in touch with you to answer your comments.
Regards Discovery Health Servicing Team
We have been in touch with you to answer your comments.
Regards Discovery Health Servicing Team
