AM
Ayanda M

1 reviews | Active since Nov 2014

09 Mar 2015, 17:33

Medical Aids are *******s

i went to the doctor in December. i, of course used my medical aid<br> unbeknown to me, because i had changed jobs, my membership number changed in August but discovery did contact me about sending me a new card. so i used the old card cos like i said, no one told me that my membership number changed.<br> <br> nonetheless, when the service provider tried to claim, it was rejected because there were no savings, cool, so i phoned Discovery, found out that there was no claim and i could submit the claim myself, i did so and still nothing appeared on the system. so i called again and was given a special claims form, filled it in, sent to discover and was told, i had not been with discovery for a year so i can't have a ''special claim'' - WHAT????!!!!<br> so i had money at the time of the visit but Discovery won't acknowledge the claim when i do it in the normal way and when i use a special form, it declines it because i have not been with discovery for a year, never mind that i was with them since 2012, even though with a different company. so discovery, you need to know tell me what to do cos the bill has to be paid and i can't pay it cos i pay you to sort out my medical bills.

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Replies (1)
Discovery Health
Discovery Health's reply11 Mar 2015, 13:32
Official
Hello SuccessMas,

Thank you for speaking to me earlier.

I confirmed that the claim you are referring to was processed on your previous membership as these are the details we had showing on your claim statement. In order to process the claim we needed an amended account with the current membership details as the service date fell within that period. I confirmed that the claim has since been processed accordingly and I emailed you details of the payment.

Thank you for allowing me to assist with your query. You are welcome to contact us should you require any further assistance.

Kind regards
Rishana