Discovery Medical Aid claims hell!

We called the Medical Aid,re a Prenatal scan for Downsyndrome,we did this sometime before the visit and was advised that we should not worry, no authorization is needed, it falls under the maternity benefit and is fully covered. Ref for that call is #*** To our suprise when we got to the scan, we had to make a co payment, which we did not budget for. Our results were withheld until full payment was made. I had to borrow from a family member in order to pay and get the results.

All ready stressed out in this difficult time of Covid, I am appalled by the service of the Discovery Scheme. Numerous calls later my matter is still not resolved.

3rd of April i uploaded the proof of payment to logg a claim to be paid back the co payment of R980 i had to pay. I received an email saying that it is unclear. I resent it ref for that is#***. I also called to confirm spoke to Namhla, who confirmed she sees the proof of payment clearly, understood the query and yes i should be reimbursed. Ref for that call is #***

9th of April no reply yet called back spoke to Tarryn. Now they saying i needed authorization, but i did not hence the maternity code was used. Tarryn confirms this, and that it was referred by my gynae and also proof of payment not clear.She resubmit the query again with the proof that she sees clearly on her end. ***.

16th April no reply yet. I call again low and behold apparently its still being investigated, Feziwe confirms with Tarryn, says Tarryn will call me back. Ref for call #***. Next day Tarryn calls back and oh my hat the claims dept is still saying they cant see the proof of payment clearly i must resend, this after 3 agents confirmed they can see it clearly. This sound like a desperate ploy to not reimburse me. Again on the 17th April i resubmit ref for that is #***

All i want is to be reimbursed as i need to pay back the person i now owe. On principle i was told it is covered, i dont need authorization due to the maternity benefit and for that reason Discovery should honor the agreement and reimburse me.This is my first pregnancy and suppose to be a joyous time for us but we have had nothing but trouble with the medical aid scheme.