LR
Levi Rousel-Brett

1 reviews | Active since Jun 2015

18 Jun 2015, 10:04

MEDICAL AID RATE ???

It seems that medical aids rates are made up as they go. They always advertise that they will pay UP TO 100% of the medical aid rate. WHAT IS THE MEDICAL AID RATE? CAN WE GET A COPY OF THIS MEDICAL AID RATE CARD FOR REFERENCE? All practitioners seem to always end up paying over the medical aid rate. What is the point of having a medical aid if they don't cover most of the medical bill??? WHY SHOULD GAP COVER EXIST??? the fact that it exists proves how badly the medical providers are covering their clients. Trying to find a practitioner is another scary thing. I looked up a dentist this morning on the Discovery List and did not find one dentist out of 50 in 100KM radius that had full cover????? I feel very **********.

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Replies (1)
Discovery Health
Discovery Health's reply19 Jun 2015, 11:03
Official
Hello LordBinary,

Thank you for your comment.

I tried contacting you however, you were not available to take my call.
The Discovery Health Rate is the amount of money we believe is reasonable to pay from your available benefits, like the Medical Savings Account or the Hospital Benefit, for a specific healthcare service. This may be a doctor's consultation, treatment or procedure. We set this rate every year, with a balance between protecting our members' best interests, maintaining the Discovery Health Medical Scheme and the interests of other groups, like healthcare
professionals. We also carefully balance the needs of our individual clients with those of all our clients as a whole.

I emailed you more information on this and the providers listed on the MaPS tool. Please feel free to contact us should you require any further assistance.

Regards
Rishana