1 reviews | Active since Jun 2013
Classic Saver - Insured Network Benefit Lie
I joined the Classic saver because I was told that once MSA is used up, I will receive some antenatal appointments with a provider Discovery has a payment relationship with. After checking everything beforehand, they still have not paid the claim and the response rate is terrible! When I call in to talk to consultants, I first have to provide them with training on the Insured Network Benefit, as they know nothing about it, thereafter they are unable to assist me. I am pregnant and don't need this extra drama. With previous medical aid (Genesis) I had no issues, their consultants were knowledgeable and resolved issues promptly. If I had my way I would never have switched medical aids in the first place. Disgusting service and unpaid account which they should have paid!
Thank you for your comment.
Once you have spent your annual Medical Savings Account (MSA), we extend your day-to-day cover through the Insured Network Benefit. Through the Insured Network Benefit, you have access to certain gynaecologist or obstetrician consultations and limited scans that are always paid in full when you use a network provider, even when your MSA is depleted. On your chosen plan type you have access to funding for eight gynaecologist or obstetrician consultations and two 2D scans when your MSA is depleted, if Discovery Health has an arrangement with your healthcare provider. The payment of these claims are subject to a defined list of diagnostic codes.
We've confirmed that you have been contacted and your query resolved. Please accept our sincerest apologies for any inconvenience this matter may have caused.
Regards
Annelize
Thank you for your comment.
Once you have spent your annual Medical Savings Account (MSA), we extend your day-to-day cover through the Insured Network Benefit. Through the Insured Network Benefit, you have access to certain gynaecologist or obstetrician consultations and limited scans that are always paid in full when you use a network provider, even when your MSA is depleted. On your chosen plan type you have access to funding for eight gynaecologist or obstetrician consultations and two 2D scans when your MSA is depleted, if Discovery Health has an arrangement with your healthcare provider. The payment of these claims are subject to a defined list of diagnostic codes.
We've confirmed that you have been contacted and your query resolved. Please accept our sincerest apologies for any inconvenience this matter may have caused.
Regards
Annelize