1 reviews | Active since Mar 2019
Discovery Health - Sports Injury Benefit - failed claims and failed service
I joined Discovery Health and specifically the Classic Smart Plan so that I could do at least 4 physiotherapy sessions, provided I pay a R100 co-payment fee when activating the sports injury benefit with a Network GP.
I had the benefit activated, with an email coming through saying that it has been approved (because approved means that I can take my sports injury benefit to a physiothe****** in the network and get my treatment, right?)
I go and do my physiotherapy session on the 1st of February 2019, and the system kicks out the injury codes, which I will repeat, were approved by the Discovery sports injury benefit system, meaning I cannot claim for the session, pay my R100 co-payment and schedule my next physio session, which I have to be very observant for, as I do only have four sessions in the year that are covered by this plan.
Fast forward later with MANY interactions with various Discovery Health consultants, I still have not received my claim back (as of today the 25th March 2019) for my session on the 1st February 2019.
I have sent this information to the Council of Medical Schemes to take this further, and even they haven't responded to my complaints 12 days later.
I am sick and tired, and in pain from this injury that I want to sort out, but cannot afford to go for physiotherapy sessions, paying in cash and expecting Discovery to pay out every three (or even longer) months.
Is there any medical aid where I do not have to go through hoops and hoops, odds and ends, just to receive the treatment I was promised I would get when joining this Medical Aid over a year ago for this specific reason?
Discovery Health Servicing Team
Discovery Health Servicing Team
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Regards
Discovery Health Servicing Team
We have been in touch to answer your comments.
Regards
Discovery Health Servicing Team
