Higher plan, lower cover

<p>On 14 and 15 July I went to see a Medical practitioner. As I am on the highest plan i had no fear of my claim being rejected. The medical practitioner (receptionist) did say that it is cash as the practice is not on the Discovery network. Confidently i went ahead, my plan has no network, this is a "Porche" plan, just under the "Ferrari".</p> <p>I paid, submutted claims (R4800) and the claims was repidiated. 19 July -Phoned, spoke to Riaan ref ********** 350 and he, as an employee, had no idea, he would resubmit and phone me back on 25 July.</p> <p>25 July - I get another repidiation email and phone - speak to Nafeesa ref ********** 770 telling me that i should ask the provider to refund me as he is not on the network...on a no-network plan? She agrees it is funny and will phone back before 5, not happening.</p> <p>26 July spoke to Brandon that tells me the practitioner is under forensic investigation and THAT is the reason i need permission....how would I know, no correspondence, no internet notes, nothing.</p> <p>Spoke to Portia and her explanation is as follows: You are on a no network plan, there is no list on the website, therefor you should phone and ask if you choose a provider.....to me it sounds worse than the network plans where i have a list before the time and the premium is 50% less than this "Porche" plan, I am confused, why is the cover on a cheaper plan lower than the expensive plan and how do a member know if Discovery is busy with forensic investigations? Staff members does not even know about this, how is a member to know about this....I am confused, very confused, this might be why i need a psigiatrist, pitty he is under investigatation</p> <p> </p> <p> </p>