1 reviews | Active since Apr 2012
Discovery claim unbelievable payback
I submitted 3 claims for R450 each, shockingly Discovery will pay back R111 for each antenatal visit to a midwife at Genesis. My midwife is Ntombi Mchunu and I believe she part of their network. I have booked to give birth at Genesis through the same midwife and Discovery has given me an authorization number. Kindly advise which midwife I should use who cost R100 for antenatal I can gladly switch. I thought by having a medical aid I won’t have to go through so much financial strain but it seems it’s the opposite considering that I am pregnant.
I am paying R1650 for booking a room at Genesis , R7500 for birth with the midwife as it is natural birth, R3625 for pedestrian. Which is all I have to pay upfront and I was told that I can submit invoices for claims to Discovery.
Now with you paying less than a quarter of the antenatal invoice amount what are the benefits of having a medical aid which I am paying R2000 every month. My medical aid is Essential Delta Saver. Even when I visit Dr Mokaya I am charged R400 cash because they say Discovery doesn’t pay them the complete money but I was told He is part of the network for Essential Delta Saver. I did blood test for my pregnancy and this amount was taken from my savings by Discovery not on maternity benefits and when I tried to understand why they said it’s because of the codes they used. I don’t know anything about codes, Discovery never inducted me the codes and their use. When I called their call Centre I was told they can’t share that information on codes with me I should call my Doctor to use the right codes, which one is the right codes?
I am really frustrated with the process. If Discovery has a midwife who charges R100 am glad to switch and in addition can you please advise on how much I will be getting back on claims I am paying R1650 for booking a room at Genesis, R7500 for birth with the midwife as it is natural birth, R3625 for pedestrian, please advise on the total amount that Discovery will pay me back so I will not be caught up with suprises because as is now am stressed considering the current pay back on my claim.
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
