1 reviews | Active since Oct 2009
Discovery Loves money more than peoples health
I am highly disgusted with Discovery Health as they are very quick to sign up new patients and taking their money but when it comes to paying out they have all kinds of excuses.
Firstly when you need an in hospital dental procedure you have to pay R5650 upfront before you can book your hospital bed. I sent my quote to the claims department just to be told by Lester Baumgart that I don't require pre-authorization as all the cost will be paid out of my day-to-day benefits. My broker had to explain to Lester that this is an in-hospital procedure. We were then informed that the "codes provided by the provider are codes that the cost cannot be predetermined as the cost dependent on the material used for the creation of the dental devices required for the procedure" There will be no material used as this procedure is for the extraction of my wisdom teeth so this explanation makes no sense. Based on this so called wrong codes the medical aid is only prepared to pay for the extraction of 1 of the 3 teeth that need to be removed. This means that I will have to pay an additional R2000 for the removal of my teeth, and who knows if I don't have to pay more for any additional cost.
I have now being paying this medical aid for almost 2 and a half years and the only claims were directly from my day-to-day benefit which means my savings account which in turn means it's my own money. So what is the use of having a medical aid if they refuse to pay for necessary procedures. I am not removing my wisdom teeth because I want to, I have to remove them as they are 1) hurting me as I am in constant pain, 2) due to no space in my mouth they are now busy rotting and is causing toxins to enter my bloodstream.
I am going to make it my mission to inform everyone I know not to sign up with Discovery Medical Aid as they only take their clients money. They don't care about our health only our money.
Dear chris83
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
Dear chris83
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
Dear chris83
We have been in touch with you to answer your comments.
Regards
Discovery Health Servicing Team
Dear chris83
We have been in touch with you to answer your comments.
Regards
Discovery Health Servicing Team
