CO
Corne O

1 reviews | Active since Jul 2017

04 Sept 2017, 12:58

Kids Casualty Benefit part 2

I made use of the OUT OF MSA Kids Casualty Benefit.

Discovery however rejected the claim because the Doctor I used was apparently the not the correct doctor.

I heard which doctors may be used, called the Unit confirmed their names and took my son to emergency unit.

Glad at the time to have had the foresight to be on the Discovery Classic Saver plan and to have such wonderful OUT OF MSA cover I submitted my claim.

However....

Here is Discovery's rejection explanation....

"We can confirm that COETZER GREYLING AND STROH Incorporated is currently one of the providers that is covered from the Kids Causality Benefit if the Mediclinic Midstream Hospital is used, however T COETZER and M GREYLING does not have any payment arrangements with Discovery Health."

Coetzer and Greyling not the correct Coetzer and Greyling???

Can anyone blame me for not hearing the distinction of their Initials first?

The information is not accessible on website or their MaPs tool. You need to phone to get the information despite being told to go to website to find doctor's on network.

And then to hear Coetzer Greyling Stroh is the one to use and then hear T Coetzer and M Greyling is at Emergency Unit....

(I still need to check my previous sentences to see which is which while typing this. )

It turns out the one is the day practice and the other the emergency practice.

And not at the same premises.

So, let me say that again. The doctors I needed to use from the correct practice at 2am in morning is actually closed at the time due to being a day practice.

How could I be expected to know this? That they are not using the same practice number? Even though they are one and the same but at different locations. The one that CAN'T BE USED on the casualty network is THE ONE AT the casualty unit.

If I had known this then I would have gone straight to Unitas Hospital.

But I got it wrong.

The casualty doctors Discovery wanted me to use at 2am had already closed at their usual time of 6pm and were not the ones at the Casualty rooms that I used.

My bad.

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Replies (2)
Discovery Health
Discovery Health's reply04 Sept 2017, 13:05
Official

Dear Corneober1

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 reply06 Sept 2017, 13:54
Official

Dear Corneober1

Please check your email inbox for our final feedback.

Regards
Discovery Health Servicing Team