In-Hospital claim not fully payed (TERRIBLE Service continues)

<p>This is my second review for Discovery Health.</p> <p>Find the first one here:</p> <p>https://www.hellopeter.com/discovery-health/reviews/terrible-service-2 ********** 528</p> <p> </p> <p>I've had an in-hospital claim that was not fully payed.</p> <p>I did send a query via email to Customer Service, and as usual running around in circles and customer services sending responses back that do not assist you in any way.</p> <p> </p> <p>The first response I received back from customer services:</p> <p>Kindly note that you are indeed covered for 200% of the Discovery Health Rate with In-hospitals specialists. Please note that this claim was not billed by a specialist, but a General Practitioner.<br />This is the reason it was short-paid up according to 100% of the Discovery Health Rate.</p> <p> </p> <p>My health plan being Classic Saver states 200% in-hospital cover for the following:</p> <p>Specialists we don’t have a payment arrangement with AND OTHER HEALTHCARE PROFESSIONALS</p> <p> </p> <p>Why wasn't my claim payed in full then...??</p> <p> </p> <p>I did send my query to Heelan Nana (Escalation Customer Relationship Manager) as well - no response as yet.</p>