1 reviews | Active since Apr 2013
Maternity benefit problems - Discovery Medical aid
On 26 Nov 2019 I went to the doctor. I found out I was pregnant - about 6-7 weeks. The doc sent me for pregnancy blood tests on that day. We phoned the medical aid and they told us that in order to activate the maternity benefits, I need to create a pregnancy profile on the app, which I did on that day. I sent screen shots to my husband (who's the main member, I'm a dependent). We kept phoning the call centre to ask them about which doctor we could go to for my prenatal consultations. They kept telling us that all the information is on the app. There is no helpful info on the app. A few times the consultant told us we can go to any doctor, yet the medical aid documents urge us to find a doctor they have a payment plan with, to ensure full payment for treatment. Dates and frequency of calls = 26 Nov 2019, 14 Dec 2019, 6 Jan 2010 4 times (cut the call, then transfer to wrong department), 7 Jan 2020 3 times. When we called on 6 Jan, they told us that I have no pregnancy profile on the app, and that my maternity benefits are not activated. We subsequently sent them screen shots of the profile on the app, which they escalated to their systems team. They also say that they cannot activate maternity benefits on their side because we can only do it on the app once the pregnancy profile is created (which it is, I check the app often and it's there). I'm not 13 weeks pregnant and I'm still struggling to get them to tell me which is their preferred list of gynaes I can see. Have not seen a gynae as yet, and discovery has not paid for the prenatal blood test I did (ordered by their network GP on the day I found out about the pregnancy and created the pregnancy profile). We are on the classic smart plan. I'm frustrated and fast approaching my second Trimester..
Regards
Discovery Health Servicing Team
Regards
Discovery Health Servicing Team
