Disappointing Discovery Pregnancy Benefit
I recently found out that I'm pregnant and I activated the my pregnancy mode on my Discovery App. After calling the Discovery offices, I was informed that I should choose my Gynae, pay for the services and claim back from Discovery.
I have submitted a claim and 100% of it was rejected by Discovery. The reason is that my plan does not include this benefit and that I'm responsible for the payment. Under my benefits and rewards for my pregnancy, it shows that none of my benefits have been used so how is this possible? Why was my claim rejected? This is very tiring.
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Replies (3)
Discovery Health's replyOfficial
04 Jul 2019, 07:46 Dear DianaSwartz
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
Discovery Health's reply04 Jul 2019, 07:46
Official
Dear DianaSwartz
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
Discovery Health's replyOfficial
08 Jul 2019, 12:53Dear DianaSwartz
We can confirm that we have resolved this matter. You contacted Discovery Health on the 04/07/2019 and feedback was provided to you concerning your Maternity Benefit claims.
Kind regards
Discovery Health Servicing Team
We can confirm that we have resolved this matter. You contacted Discovery Health on the 04/07/2019 and feedback was provided to you concerning your Maternity Benefit claims.
Kind regards
Discovery Health Servicing Team
Discovery Health's reply08 Jul 2019, 12:53
Official
Dear DianaSwartz
We can confirm that we have resolved this matter. You contacted Discovery Health on the 04/07/2019 and feedback was provided to you concerning your Maternity Benefit claims.
Kind regards
Discovery Health Servicing Team
We can confirm that we have resolved this matter. You contacted Discovery Health on the 04/07/2019 and feedback was provided to you concerning your Maternity Benefit claims.
Kind regards
Discovery Health Servicing Team
's updateReviewer Update
08 Jul 2019, 13:20My issue hasn't been resolved. I got an amended invoice from my Gynae and I submitted that for my claim. Over half of the claim hasn't been responded to and the one that has was rejected because the procedure code isn't on your list. My gynae doesn't use that procedure code and the invoice clearly says that the scan was for pregnancy but still my claim was rejected.
This pregnancy benefit is really starting to feel like the **** that most people say it is. My invoice clearly states the services for which I am claiming for but this doesn't suit discovery.
Surely if you have a specific list of ICD10 and procedure codes you take then you should provide them to your clients. I can't be asking my service provider to continuously reissue the same invoice.
I need this issue resolved cause its honestly unfair. This isn't the kind of stress I need at this point in my life.
This pregnancy benefit is really starting to feel like the **** that most people say it is. My invoice clearly states the services for which I am claiming for but this doesn't suit discovery.
Surely if you have a specific list of ICD10 and procedure codes you take then you should provide them to your clients. I can't be asking my service provider to continuously reissue the same invoice.
I need this issue resolved cause its honestly unfair. This isn't the kind of stress I need at this point in my life.
's update08 Jul 2019, 13:20
Reviewer Update
My issue hasn't been resolved. I got an amended invoice from my Gynae and I submitted that for my claim. Over half of the claim hasn't been responded to and the one that has was rejected because the procedure code isn't on your list. My gynae doesn't use that procedure code and the invoice clearly says that the scan was for pregnancy but still my claim was rejected.
This pregnancy benefit is really starting to feel like the **** that most people say it is. My invoice clearly states the services for which I am claiming for but this doesn't suit discovery.
Surely if you have a specific list of ICD10 and procedure codes you take then you should provide them to your clients. I can't be asking my service provider to continuously reissue the same invoice.
I need this issue resolved cause its honestly unfair. This isn't the kind of stress I need at this point in my life.
This pregnancy benefit is really starting to feel like the **** that most people say it is. My invoice clearly states the services for which I am claiming for but this doesn't suit discovery.
Surely if you have a specific list of ICD10 and procedure codes you take then you should provide them to your clients. I can't be asking my service provider to continuously reissue the same invoice.
I need this issue resolved cause its honestly unfair. This isn't the kind of stress I need at this point in my life.