MP
Monique P

1 reviews | Active since Feb 2015

12 Feb 2015, 09:40

False info on Plan that i am on

I am very disappointed in Discovery Medical aid. Me being in my opinion a great ambassador for discovery always giving compliments about the excellent medical aid. Now I am astounded to say that Discovery let me down. According to my Medical aid plan that I am on I have unlimited usage of Blood tests, with a shocking discovery I am liable for 50% of the contribution to blood tests done. Now I am responsible to pay this amount to the pathologist. This in my opinion is very disappointing, I have tried to clarify the issue with Discovery to find out that they refuse to pay. I am liable for cost which is actually the responsibility of Discovery to pay, this in my opinion is unacceptable. Discovery being labelled as the best medical aid, now I am doubting it and actually considering finding a medical aid that does not \LIE"in their scheme plan about paying certain costs. Why do I pay a medical aid that refuses to look after my health"

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Replies (1)
Discovery Health
Discovery Health's reply13 Feb 2015, 13:36
Official
Hello MoniQi,

Thank you for your comment.

I confirmed that blood tests on your plan type is unlimited when requested by your chosen GP subject to a formulary. The claim you are referring to was requested by a specialist therefore, all related accounts are funded from the available specialist benefit. I sent you an email with the details of the claim processing.

I am truly sorry that I cannot offer you a different outcome on your query. Please let me know if you have any further concerns.

Kind regards
Rishana