LM
Lisa M

1 reviews | Active since Feb 2018

15 Oct 2018, 13:19

Discovery giving ******* advice

I was sent for Ophthalmology tests by my Neurologist during my hospital stay. Everything was approved for and given the go ahead by my medical aid so I saw no problems with going ahead with the tests being done in hospital.

Then the bills came.

After numerous phonecalls back and forth to Discovery one woman told me the reason why they are not covering this particular bill is because they can't trust that the Dr actually used this specific equipment & test on ME. Then she told me that I should phone the accounts department at that Dr's office and tell them to change the codes on their invoice and then they will pay?? ( This is ******* I might add. ) It truly isn't my problem if Discovery has trust issues with Doctors!

I phoned them again to speak to someone else and a much more helpful woman assisted me saying that I should get motivational letters from my Drs stating why these tests needed to be done and then they will re-evaluate the case and make a decision.

They just declined the claim and said I didn't have a savings plan - which I know because we have a HOSPITAL PLAN - which I have told them countless times. It feels like I am explaining stuff to a robot and getting absolutely nowhere!

0
Replies (2)
Discovery Health
Discovery Health's reply15 Oct 2018, 14:42
Official

Dear lisa-mouton

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 reply17 Oct 2018, 12:53
Official

Dear lisa-mouton

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

Regards
Discovery Health Servicing Team