VC
Vanity C

1 reviews | Active since Oct 2017

14 May 2018, 08:55

Discovery pays R3000 towards C Section (Major Operation) rediculous

I have recently given birth by cesarean section. This procedure was pre-approved by Discovery. Upon submitting the invoice to Discovery I discovered that they didn't even cover a third of the obstetrician's bill. This is despite being on the Classic Priority Plan with 200% medical aid rate cover.

The Obstetrician's in-theatre charges for this procedure is R24000 and I expected a shortfall however not to this extent. Discovery informed me that their medical aid rates for this procedure is only R3000. How can cover for serious surgery be this low?

Discovery no-where discloses what their medical aid rates for this procedure is R3000 for this procedure even when I called in to query prior to giving birth. My pre-approved procedure nowhere stated that there will be a shortfall, or what the amount is that Discovery covers.

If we knew, we could have made prior arrangements.

I find it rediculous that Discovery only covers such a minimal amount for such serious surgery. It feels like ******ion I might as well have taken my monthly payments to discovery and I would have been able to cover my medical bills comfortably. Brings me to question why I have medical aid.

Why dont they disclose this information prior to the procedure, I cant trust a company that intentionally keeps such vital information from clients.

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Replies (2)
Discovery Health
Discovery Health's reply14 May 2018, 09:08
Official

Dear vanity-cardoso

We received your message and we’re looking into the matter.

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply16 May 2018, 14:54
Official

Dear vanity-cardoso

We have sent you an email. Please check your inbox.

Regards
Discovery Health Servicing Team