CP
Corinne P

1 reviews | Active since Jan 2017

09 Jan 2017, 12:26

Kids Casualty cover not possible

<p>On Sunday evening the 13th on November my daughter (Age 6 months) had a very high fever and we were advised by the pediatrician to take her to emergency room / casualties. The claim was declined because there were no savings left in my medical savings account. So I paid the account and submitted my claim afterwards to Discovery under the Kids Casualty cover from the Insured Network benefit. </p> <p> </p> <p>I spoke to 3 different consultants who had firstly no idea that the Kids Casualty Cover even existed. Then I was told that the doctor was not part of the Discovery Network. Which basically means that the entire casualties at Eugene Marais, belonging to Dr Louis Engelbrecht and Partners are not on the Network. None of the consultants were able to tell me which casualties I should have taken my daughter to. </p> <p> </p> <p>I have lodged a complaint and after explaining very clearly that I am claiming from the Insured Network benefit for Kids Casualty cover, I have even sent the actual Insured Network Benefit document to them but still no one is able to assist me.</p> <p> </p> <p>So far I have received 3 different responses back from Discovery, one stating that there were no Medical Savings available, hence the reason the claim was rejected, two stated that because my daughter was not admitted straight into hospital the claim could not be paid from the hospital benefit and the third reason being the doctor was not part of the discovery network.</p> <p> </p> <p>It is actually a joke to think how little Discovery's employees know about the products they offer.</p> <p>Does this Kids Casualty Cover even exist or is it just a marketing ****? </p>

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Replies (2)
Discovery Health
Discovery Health's reply09 Jan 2017, 13:32
Official

Dear CPienaar101

We are sorry to hear about your frustrations.

We are investigating your case and will get back to you as soon as possible.

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply13 Jan 2017, 08:36
Official

Dear CPienaar101

We have contacted you with a resolution to your issues.

Please let us know if you have any questions.

Regards
Discovery Health Servicing Team