RW
Rosalind W
1 reviews | Active since May 2013
15 Sept 2015, 13:58
I AM SO FEDUP OF THIS ****
MY SON IS NOT WELL I TOOK HIM TO THE DOCTOR YESTERDAY BECAUSE OF FINANCIAL REASONS I HAD TO LOWER MY PLAN I SO REGRET GOING ONTO KEYCARE PLUS NOW I HAVE TO WAIT FOR AN AUTHORISATION NUMBER BEFORE I CAN GO TO THE ENT, GUESS WHAT I GO AN APPOINTMENT FOR THE 30TH OF SEPTEMBER BUT WAS CALLED TO GET AN EARLIER APPOINTMENT FOR TOMORROW BUT GUESS WHAT I DONT HAVE AN AUTIHORISATION NUMBER YET JUST GO OFF THE PHONE WITH THE CALL CENTRE WAS TOLD THEY CANT ESCALATE MY MATTER BECAUSE ITS NOT 2 DAYS YET, I MEAIN REALLY WHAT IS SO DIFFICULT WHY NOT LOOK AT MY SONS MEDICAL HISTORY FOR CRYING OUT LOUD I AM SO LIVID I JUST WANT TO FIND AN ALTERNATE MEDICAL AID FOR MY FAMILY
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Discovery Health's replyOfficial
15 Sept 2015, 16:55Hello jerome12,
Thank you for your comment.
We confirmed that you have been contacted and your query resolved.
On the KeyCare plans you need to get a specialist authorization before consulting with a specialist. The general practitioner (GP) must request a specialist referral approval from Discovery Health prior to you making the specialist appointment. The process takes 2 working days from the time the form is registered on system. If the authorization is approved, we will cover the claims up to the Discovery Health Rate or the Specialist agreement rate, if they are contracted in. The reimbur*****t of these claims are subject to funds being available in your specialist benefit limit.
If your son needs to be referred again to another provider at a later stage, the GP needs to follow the form process again.
Please do not hesitate to contact me should you require any further assistance in this matter.
Regards
Annelize
Thank you for your comment.
We confirmed that you have been contacted and your query resolved.
On the KeyCare plans you need to get a specialist authorization before consulting with a specialist. The general practitioner (GP) must request a specialist referral approval from Discovery Health prior to you making the specialist appointment. The process takes 2 working days from the time the form is registered on system. If the authorization is approved, we will cover the claims up to the Discovery Health Rate or the Specialist agreement rate, if they are contracted in. The reimbur*****t of these claims are subject to funds being available in your specialist benefit limit.
If your son needs to be referred again to another provider at a later stage, the GP needs to follow the form process again.
Please do not hesitate to contact me should you require any further assistance in this matter.
Regards
Annelize
Discovery Health's reply15 Sept 2015, 16:55
Official
Hello jerome12,
Thank you for your comment.
We confirmed that you have been contacted and your query resolved.
On the KeyCare plans you need to get a specialist authorization before consulting with a specialist. The general practitioner (GP) must request a specialist referral approval from Discovery Health prior to you making the specialist appointment. The process takes 2 working days from the time the form is registered on system. If the authorization is approved, we will cover the claims up to the Discovery Health Rate or the Specialist agreement rate, if they are contracted in. The reimbur*****t of these claims are subject to funds being available in your specialist benefit limit.
If your son needs to be referred again to another provider at a later stage, the GP needs to follow the form process again.
Please do not hesitate to contact me should you require any further assistance in this matter.
Regards
Annelize
Thank you for your comment.
We confirmed that you have been contacted and your query resolved.
On the KeyCare plans you need to get a specialist authorization before consulting with a specialist. The general practitioner (GP) must request a specialist referral approval from Discovery Health prior to you making the specialist appointment. The process takes 2 working days from the time the form is registered on system. If the authorization is approved, we will cover the claims up to the Discovery Health Rate or the Specialist agreement rate, if they are contracted in. The reimbur*****t of these claims are subject to funds being available in your specialist benefit limit.
If your son needs to be referred again to another provider at a later stage, the GP needs to follow the form process again.
Please do not hesitate to contact me should you require any further assistance in this matter.
Regards
Annelize