JE
Johan E

1 reviews | Active since Aug 2012

08 Dec 2023, 08:32

Horrific Claims Experience

Is it even possible to claim from the scheme? No wonder providers require member to pay up-front and claim from the scheme. Went to doctor for sports related injury. Doctor Activated the Sport Injury benefit. Went for treatment and submitted first round of bills and Discovery Settled from Wealth/Health Fund. Submitted 2'nd round of claims and Discovery rejected due to no Benefit available. Phone and consultant agreed that this is not correct, escalated the matter indicating Sports Benefit Activated. Once again a week later after no feedback phoned again - now they instructed me to go back to doctor to have ICD10 code amended for treatments to align. Absolute horrific Service! *** 797 347 *** 913 595

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Replies (2)
Discovery Health
Discovery Health's reply08 Dec 2023, 10:45
Official
Dear Johan E
 
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 reply13 Dec 2023, 11:10
Official
Dear Johan E

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

Regards
Discovery Health Servicing Team