YS
Yowelindie S

1 reviews | Active since Jul 2011

21 Jun 2016, 11:47

Discovery *********! Refusing to pay for a claim that they have approved in writing!

<p>I sent an email enquiry to Discovery about a procedure that I had to have done. They asked for details, which I provided, and then approved the procedure, saying Discovery will pay for it. The specific doctor's policy is that the patient pays the bill, and then I have to claim back from the medical aid myself. So after getting Disovery's approval, I proceeded to have the procedure done, and paid for it myself. I sent the claim to Disovery, and now they are refusing to pay for it, the reason being code 273 - my plan does not have a medical savings account for day to day expenses. This procedure was not a day to day expense, and it was approved in writing (e-mail) beforehand! How does this work??? It's absolutely disguting service! I have only been a Discovery member for 4 months, and this was my first encounter, and I am already starting to look for a new medical aid. This needs to be sorted out! If a claim was approved it needs to be paid out! Not excuses given! I am very very disappointed in Discovery!</p>

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Replies (2)
Discovery Health
Discovery Health's reply21 Jun 2016, 12:04
Official

Dear ystrauss

Thanks for reaching out. We’re investigating the issue and we’ll contact you shortly.

Regards
Discovery Health Servicing

Discovery Health
Discovery Health's reply23 Jun 2016, 15:00
Official

Hi Ystrauss

We are in the process of resolving your query. We will provide you with final feedback shortly.

Regards
Anil