Horrible Maternity Benefit causing unwanted stress
The Discovery Health Maternity Benefit is the biggest **** that I have ever come across. They gave me a false sense of security and now that I need them to follow through, nothing is happening.
On the 1st of July, I submitted a claim for my first Gynae consultation. I had already activated my pregnancy benefit. I paid upfront, as per Discovery's advice and I was told I would be paid back. My first claim was rejected, stating that I am not covered for the gynae visit. After giving the call centre a call, I was notified that the ICd10 code used was incorrect.
I got an amended invoice from my Gynae and I submitted that for my claim. Over half of the claim hasn't been responded to and the one that has was rejected because the procedure code isn't on your list. My gynae doesn't use that procedure code and the invoice clearly says that the scan was for pregnancy but still my claim was rejected.
This pregnancy benefit is really starting to feel like the **** that most people say it is. My invoice clearly states the services for which I am claiming for but this doesn't suit discovery.
Surely if you have a specific list of ICD10 and procedure codes you take then you should provide them to your clients. I can't be asking my service provider to continuously reissue the same invoice.
I need this issue resolved cause its honestly unfair. This isn't the kind of stress I need at this point in my life. I went to my second appointment yesterday and I've submitted a claim for that again. It just feels like I'll be paying for all the costs by myself at this point so what was the reason for being on this medical aid?
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
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
