1 reviews | Active since Jan 2016

31 May 2016, 10:49

no feedback and incorrect payment processing

<p>I have been battling since the 17th of March and I receive absolutely no feedback, I have spent a numerous amount of time to get the matter resolved and I have to speak to different consultants and start the same story over and over. I received authorisation for a Dentistry procedure and the practise was successfully paid. However the payment for the actual dentist was paid from the medical savings account instead of the hospital plan. I was promised on the 12th of April that the money will be paid to the doctor from the hospital plan and that the Medical savings account will be reimbursed. I have been inconvenienced and I am still unable to use the medical aid, yet I still pay monthly. I called again only to be told that the doctor needs to provide a letter stating where the procedure was done, this is ludicrous the medical aid already has all the accounts from the hospital to the anaesthetist, and doctor, for the same patient on the same day. it seems as if discovery is looking for excuses not to reimburse the Medical savings account </p> <p> </p>

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Replies (1)
Discovery Health
Discovery Health's reply03 Jun 2016, 07:21
Official

Hi Alene

Thank you for contacting us.

The account initially submitted by your dentist confirmed that treatment was obtained in his rooms and not in hospital. As such the account was processed from your day to day benefits.

We have since received an updated account confirming the correct place of service, and the account has been reprocessed and been paid correctly.

If you need any further help, please contact us directly.

Regards

Norman

Best regards,