1 reviews | Active since Sept 2013
Discovery not paying for procedures
On the 5/07/2023 I had a mammogram done and results came back that I need to do a Core needle biopsy. I called Discovery on the 6/07/2023 to confirm about this procedure of which Tracy had advised me that the medical aid covers 2 types of biopsy's and the core needle one is one of them. Radiology called me to say medical aid is rejecting the procedure at this moment all I can think about is my health. So I went ahead and made an appointment to go ahead I paid the bill of R9600. Had my biopsy done on the 13/07/2023. On the 15/07/2023 I started submitting my claims(Invoices, paperwork) what a nightmare this journey was poor services at its best I had to call to find out etc what is happening. Claims decided that they will only pay an amount of R4392.94 on the 03/08/2023. Now I would like to know where does it leave me going forward because now I do not have funds for specialists available because funds was paid from there leaves me with a balance of R5207.06 + a Lancet Invoice of R2150.60. Of which on all calls to Discovery I was advised that this procedure is covered. This I find disgusting and makes me wonder what will happen in the future for current emergency procedures.
I would like for Discovery to look into this matter and would like for a full refund of my balance and for the Lancet billed to be paid.
Ref numbers more to provide upon request: *** ,***, ***, ***,
All documents can be provided and had been submitted to the medical aid.
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
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
We’ve responded to your query.
Regards Discovery Health Servicing Team
We’ve responded to your query.
Regards Discovery Health Servicing Team
