TN
Theresa N

1 reviews | Active since Mar 2013

01 Oct 2020, 16:46

Maternity Benefits

When one first finds out you are expecting it is meant to be a joyous occasion. You think to yourself I have my Medical aid I am covered. You go and look immediately what benefits I am entitled to. You search your plan, you get a Dr you supposed to use Only to find out when you go to the Gynae they don't submit straight to the medical aid which is fine. I paid them and sent my claim thinking its fine I am covered. Only to see that I am not been refunded by almost half of the claim. I phone discovery to find out why and they tell me oh your gynae charges out the medical aid rates. so I say but I checked on the app and this dr has a green tick. Only then to be told its a green tick for Hospital and not consultations and then when I ask then who should I use I get told oh wait the plan you are on doesn't have any specialists. Discovery has blantly not offered what they say they will. They say you are covered for 8 consultations for my plan, but I am not!! They should rather say we cover you for 8 consultations but only for a certain amount. We pay our premiums every month and it just seems every time you try to use the benefits you pay for they always try to find a way so that they don't have to pay out. Its not fair and you are *****!!

0
Replies (3)
Discovery Health
Discovery Health's reply02 Oct 2020, 07:14
Official
Dear Theresa 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 Tea
Discovery Health
Discovery Health's reply05 Oct 2020, 09:12
Official
Dear Theresa We have been in touch with you to answer your comments. Regards Discovery Health Servicing Tea
Discovery Health
Discovery Health's reply05 Oct 2020, 09:12
Official
Dear Theresa We have been in touch with you to answer your comments. Regards Discovery Health Servicing Team