1 reviews | Active since Jun 2020
No respect for Customers
Discovery has zero respect for Customers. Each time I claim I have to manually call in to rectify my claim as the claims department does not read and overlook information. I went to a Doctor as a Private Patient. I asked the Doctor to make me a Private Patient and I subsequently paid cash for my consultation. I sent the claim to Discovery via email with the accompanying statement showing what I was charged and the amount I paid with other relevant information. They rejected my claim saying there are no medical aid details on the statement. My question was how would the Doctor populate this statement with my medical aid details if I went there as a Private patient? The consultant who was assisting me said that Discovery forces all patients who go to private Doctors and non-network Doctors to have their medicinal aid details. I don't understand how this makes sense.
Their claims process is extremely tedious. They are failing to advance with the digital age to ease the claims process which takes 3 business days to process. I pay approximately R20 000 per month for Medical Aid alone, excluding GAP Cover and Supplemental Illness Cover.
