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Sakhile N

1 reviews | Active since Aug 2012

02 Oct 2017, 13:37

Day light *******. Refusing to refund me from my OWN savings account

I went for an eye operation in May and received 2 separate bills for the procedure. 1 for the hospital and the 2nd one for the procedure. Discovery health only paid for the hospital and declined the 2nd claim of R13,500 for the procedure. I have resubmitted the claim more than 5 times but still call center staff would not give me a reason why claim is being declined, everytime I call i get a different agent who will then tell me to resubmit the claim.

The most annoying this is that I am on their classic comprehensive plan , which is the MOST expensive plan. I still have savings of over R14,000. MY OWN SAVINGS, MY OWN MONEY but this Medical aid decides not to refund me from my OWN SAVINGS.

The other thing is that I was using contact lenses but after the OP, I stopped using lenses and my eyesight is back 100%. Is that not a long term savings? Why is it difficult to refund me?

I'm so annoyed and ****ed off, I wish I had an option of changing to another medical aid

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Replies (2)
Discovery Health
Discovery Health's reply02 Oct 2017, 15:32
Official

Dear sakhyn

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.

Discovery Health
Discovery Health's reply04 Oct 2017, 14:26
Official

Dear sakhyn

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

Regards
Discovery Health Servicing Team.