CJ
Christiaan J

1 reviews | Active since Mar 2010

12 Feb 2018, 15:46

No claim payout

I moved from Topmed to a more expensive medical aid to get better service. I took the little one to the doctor for tonsillitis on the 07/02/2018. I got informed they will not cover this as this is part of respiratory tract infection (Common symptoms of an upper respiratory infection such as a cold include a runny nose, post-nasal drip,cough, and nasal congestion) exclusion. when looking up, nowhere on the documentation provided to me did this specify tonsillitis is part of the exclusions. surely this is just a money making scheme to take a person's money and not cover any valid expenses.

0
Replies (2)
Discovery Health
Discovery Health's reply13 Feb 2018, 07:04
Official

Dear chrisjay

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 Team

Discovery Health
Discovery Health's reply14 Feb 2018, 13:03
Official

Dear chrisjay

We have been in touch with you to answer your comments.

Regards
Discovery Health Servicing Team