SA
Sameem A

1 reviews | Active since Mar 2019

29 Mar 2019, 17:57

Discovery paid less than 50% of the gynaecologist fee for cesarean section operation

My wife recently gave birth by cesarean section. This procedure was pre-approved by Discovery. However upon submitting the claim I was paid less than 50% of the gynaecologist fee. I was told that the doctor is contracted out of Discovery and his rates were different to discovery scheme rates. Discovery scheme rates are ridiculous. I don't understand how these rates are derived. Their scheme rate for a major cesarean section operation is mere R3 747.90. How can cover for such a major surgery be this low?

Their premiums increase every year to cover rising medical costs yet their scheme rates are ridiculously low. I escalated this to Discovery to no avail. Very much frustrated.

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Replies (2)
Discovery Health
Discovery Health's reply01 Apr 2019, 09:26
Official
Dear  sameemahmed 

Your concerns are important to us and we will be in touch soon with an answer to your comments.

Regards
Discovery Health Servicing Team 
Discovery Health
Discovery Health's reply02 Apr 2019, 10:16
Official
Dear  sameemahmed 

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

Regards
Discovery Health Servicing Team