SL
Sendrinah L

1 reviews | Active since Sept 2009

22 Sept 2021, 12:54

Medical Aid Refuses to pay

Good day Discovery,

I do not know where to start. How do we decline a covered medical benefit and then not provide a reason for not paying the claim? First claim was made in February 2020, which was rejected and said I was not on the medical aid anymore. 2nd claim was made in April 2020 for the same spend and discovery said they would pay – BUT ultimately did not pay. 3rd claim was made in August 2020 – and this was rejected, and the medical aid said this was too late to claim.

Please URGENTLY advise the reason this medical claim was never paid? Please bear in mind that I have now been informed I have been placed in legal collections when I have had medical aid, and this has been submitted to you, but this has never been paid.

Details required: Service data of claim: 26 February 2020 Reference/Claim Number: *** Query references with discovery: ***

Still waiting for a response on this claim.

I have requested feedback 4 times for this claim, and yet no feedback as to why it was not paid. I have provided all the information requested. Please pay the claim.

0
Replies (1)
Discovery Health
Discovery Health's reply23 Sept 2021, 08:36
Official
Dear Sendrinah L We’ve noted your concerns and we’re investigating the matter. We’ll contact you with feedback as soon as possible. RegardsDiscovery Health Servicing Team