PS
Petrus S

1 reviews | Active since Jun 2015

18 Dec 2019, 21:46

Discovery does not pay basic claims

On Discovery Classic Smart.

PFD download of Benefits 2019 clearly states "dental check-up at any dentist, dental the****** or oral hygienist", is a benefit.

Now they refuse to pay claim because they do not accept my hygienist's practice type/number.

Number has to start with specified digits (usually indicates type of practice/provider).

What do they not understand the meaning of "any", as quoted from their documents in quote above?

I think the claim is just R 380.

I will take them to the ombudsman, this is an matter of principle.

0
Replies (2)
Discovery Health
Discovery Health's reply19 Dec 2019, 07:37
Official
Dear Petrus S

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

Best regards,

Discovery Health
Discovery Health's reply20 Dec 2019, 10:00
Official
Dear Petrus S

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

Regards
Discovery Health Servicing Team

Best regards,