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olganat O

1 reviews | Active since Jul 2017

01 Jul 2017, 10:01

Dodging to pay the claim by always coming up with alibis

<p>Good day Sir/Madame !</p> <p>I'm a discovery member since 2015 with no claim whatsoever, unfortunately I passed out at work on Thursday 29 June 207 and I was taken to the emergency room, and the doctor suggested that I should be admitted because the condition seem very critic. 7 hours later I was transferred from Cartenhof Hospital to Clinton Clinic due to the reason that Carstenhof is not part of their network hospital. I kept on losing my conscious, feeling dizzy and having this headache, the doctor said that I definitely need to go for a scan, at my greatest surprise I was told that my medical aid had declined my claim there's nothing they can do. I'm still in hospital as I'm writing this letter, I contracted Discovery to get some clarifications they told me that the claim was not uploaded properly, there was no doctor's practice number, when I called them again in the evening they said that it wasn't an emergency case, since it's not a post natal condition or I broke my leg and back. That's not what I was told when I took this membership and if they'll only pay when a person breaks his back or leg, now I'm here with a very severe headache, dizzy and I can't be treated or have a CT Scan whilst I have a medical aid scheme.</p> <p> </p> <p>Best Regards</p> <p>Olga</p>

0
Replies (2)
Discovery Health
Discovery Health's reply03 Jul 2017, 09:10
Official

Dear olganat-natasha

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 reply03 Jul 2017, 14:47
Official

Dear olganat-natasha

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

Regards
Discovery Health Servicing Team