JW
Jeremy W

1 reviews | Active since Jul 2009

06 Sept 2016, 07:50

Discovery does not pay for childs X-Rays

<p>Our Son injured his hand. Our GP referred us to the hospital to have X-Rays done as it was suspected that he could have broken his hand. On submission of the claim for a measly R850 odd from the radiologist for the X-Rays, Discovery promptly declined to pay this with the reason that "our son was not admitted to the hospital as a casualty", and this should be on my own account. I am actually disgusted as to how this was reviewed, and subsequently rejected based on the above reason. I am actually VERY worried now that I am on a medical aid that DOES NOT have their member’s health in their best interest, and all they want to do is save a buck here and there wherever possible! I am Utterly Disgusted and sickened by this experience… Sis on you!</p> <p> </p>

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Replies (4)
Discovery Health
Discovery Health's reply06 Sept 2016, 07:58
Official

Dear wiljer05

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 reply06 Sept 2016, 12:58
Official

Dear wiljer05

We’ve just contacted you with final feedback.

Please contact us if you have any other queries.

Regards
Discovery Health Servicing Team

JW
Jeremy W's update06 Sept 2016, 13:32
Reviewer Update

I see you kindly omitted what the final feedback was... I'll post it on your behalf for those interested in reading it. I was told I had to go back to my GP to get a report on why she referred us to get X-Rays, and additionally to that I am to get the radiology report, and then I needed to submit it again for review again, for possible approval. ARE YOU SERIOUS? Wow, great show of how to make things as hard as possible so you can keep your pennies.. For R850 odd rand, it is really not worth my while collating this detail for a possible approval. Discovery says you are covered in cases of emergency. I guess they should say you are, but once rejected (by whatever excuse we can find) boy you work really really hard to get any pennies out of us!!

Discovery Health
Discovery Health's reply07 Sept 2016, 07:33
Official

Dear wiljer05

We can confirm that we have sent you final feedback by email.

Please let us know if you have any questions.

Regards
Discovery Health Servicing Team