TJ
Tristan J

1 reviews | Active since Nov 2013

18 Dec 2017, 10:04

Discovery refuses to pay claim that i'm entitled to on my plan

I recently got the sports injury benefit activated as i am on the Smart Classic Plan. This was done by my network GP as he referred me to a Chiro.

I have been for 3 treatments at the Chiro, none of which Discovery will pay through the activated benefit. I made sure they submitted the activated codes and got the referring Doctor on the claim. Still they wont pay.

But yet in the T'c and C's of my plan, this is a benefit.

Discovery please make this right

0
Replies (4)
Discovery Health
Discovery Health's reply18 Dec 2017, 11:04
Official

Dear Tristanjensen

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

Discovery Health
Discovery Health's reply20 Dec 2017, 10:13
Official

Dear Tristanjensen

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

Regards
Discovery Health Servicing Team

TJ
Tristan J's update09 Feb 2018, 08:05
Reviewer Update
Nothing has been sorted out. Even Head Office wont pay my claim. Its not been over 2 months! The Smart Classic plan is a lie. Discovery doesn't cover Chiro or Physio visits under the sports benefit activation. My chiro has submitted numerous times exactly what the consultants asked for and they still wont pay.
TJ
Tristan J's update09 Feb 2018, 08:05
Reviewer Update
Nothing has been sorted out. Even Head Office wont pay my claim. Its not been over 2 months! The Smart Classic plan is a lie. Discovery doesn't cover Chiro or Physio visits under the sports benefit activation. My chiro has submitted numerous times exactly what the consultants asked for and they still wont pay.