EJ
Elenor J

1 reviews | Active since May 2019

06 May 2019, 21:04

Discovery Health Maternity Benefit

MContacted @Discovery_SA on 10 April to obtain approval for prenatal test (NIPT Test). I had done the test on my doctor's recommendation on 12 April. Only after speaking to a consultant the second time, did they inform me I have to activate my maternity benefit, which I did on 18 April. My claim for the test got denied as it was done before the activation of my benefit. I have submitted claims before this for bloodwork etc., clearly indicating that I am pregnant, and did not receive one notification / call / alert that I had not activated this benefit, which was not relevant when I had my baby boy 2 and a half years ago.

Seems like an excuse to not make benefits which are essential benefits of your medical aid.

It has been almost a month since I requested pre-authorisation, where I have had numerous calls with inexperienced call centre personell who promise to get back to me but never do. I am yet so speak to someone who understands pre-natal tests and care. Had to go back to my Doctor to keep asking for more information.

0
Replies (2)
Discovery Health
Discovery Health's reply07 May 2019, 08:09
Official
Dear elenor-jensen

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 reply15 May 2019, 09:30
Official
Dear elenor-jensen

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

Regards
Discovery Health Servicing Team