1 reviews | Active since Sept 2016
Once again... can't understand my decision to be with Discovery
<p>It's quite simple... my wife's recent pregancy and associated complications, which resulted in the death of our baby, have left us financially destitute.</p> <p> </p> <p>- Dr Paul Partridge (Gynea Morningside Mediclinic) to whom we were referred: All consultations and scans came out of our medical savings account</p> <p> </p> <p>- NIPS blood tests to be sent abroad for chromosome analysis: This depleted our medical savings account</p> <p> </p> <p>- 2 Consultations (code 3617) with Prof Ermos Nicolaou (Wits Maternal & Fetal Medicine Centre): Baby diagnosed with Hydrops Fetalis: Total R4800 paid in cash</p> <p> </p> <p>Now on top of the cremation costs etc, Discovery refuses to pay for any of our maternal consultations (code 3617) of which my plan (Classic Delta Saver) is supposed to cover, due to the fact these leading industry specialists are not part of the Discovery netywork???!!! Do yourselves a favour Discovery, go and ask ANY of your female employees that have had a complicated pregnancy if they have heard of Prof Nicolaou.... he is the most notable expert in his field and you will need to forgive me for wanting to try and save our childs life!!!</p> <p> </p> <p>Who the F is actually the preferred Fetal specialist covered by Discovery then????? Do we have to visit sub-standard professionals in order to claim from Discovery????</p> <p> </p> <p>Your call centre agent sent me a PMB application form, which is not structured to accomodate my request.</p> <p> </p> <p>You have a chance to rectify this before I publicize this story with relentless vigour.</p> <p> </p>
Dear damian-burnett
We’re sorry to hear you’re dissatisfied. Please give us a chance to look into your query and we’ll be in touch soon.
Regards
Discovery Health Servicing Team
Dear damian-burnett
We’re sorry to hear you’re dissatisfied. Please give us a chance to look into your query and we’ll be in touch soon.
Regards
Discovery Health Servicing Team
Dear damian-burnett
We have been in touch with you to answer your comments.
Regards
Preeti Jagjiwan
Dear damian-burnett
We have been in touch with you to answer your comments.
Regards
Preeti Jagjiwan
Discovery wahsed their hands of this problem by referring me to their PMB application board.
Note that code 3617 (routine ultrasound) does not fall under the PMB umbrella, but instead is a listed benefit of the Classic Delta Saver plan, of which I am entitled to 8.
Discovery was aware of this from the beginning yet sent me on a wild goose chase to apply for a PMB benefit, leaving the healthcare provider confused as to why I am trying to have this paid as a PMB.
Routine Ultrasound during pregnancy is not a PMB, so why give me the runaround?
Allow me to answer for you as follows:
"Dear Mr Burnett, while we appreciate your monthly premiums of close to R4000, this is not enough to cover the most notable healthcare professionals, despite non-negotiable referrals from other healthcare providers. Thank you for saving us a ton of money by not using any of your 8 available pregnancy ultrasounds provided by your plan. Although you are only trying to claim two scans, we would prefer to put you in financial difficulty at this time. "
Discovery wahsed their hands of this problem by referring me to their PMB application board.
Note that code 3617 (routine ultrasound) does not fall under the PMB umbrella, but instead is a listed benefit of the Classic Delta Saver plan, of which I am entitled to 8.
Discovery was aware of this from the beginning yet sent me on a wild goose chase to apply for a PMB benefit, leaving the healthcare provider confused as to why I am trying to have this paid as a PMB.
Routine Ultrasound during pregnancy is not a PMB, so why give me the runaround?
Allow me to answer for you as follows:
"Dear Mr Burnett, while we appreciate your monthly premiums of close to R4000, this is not enough to cover the most notable healthcare professionals, despite non-negotiable referrals from other healthcare providers. Thank you for saving us a ton of money by not using any of your 8 available pregnancy ultrasounds provided by your plan. Although you are only trying to claim two scans, we would prefer to put you in financial difficulty at this time. "
Good day damian-burnett
We have contacted you with a resolution to your issues.
Regards
Nirvana
Good day damian-burnett
We have contacted you with a resolution to your issues.
Regards
Nirvana
Please note that contrary to the comments made by Discovery above, they did NOT provide me with a resolution to the issues raised.
The matter went before the PMB application board, who ruled that they would not cover ANY of the payments app**** for. Just to recap, these were standard things like Ultrasounds... and this even after our fetus was diagnosed with Hydrops.
People, think VERY carefully about being on Discovery if you are planning on a pregnancy...
Please note that contrary to the comments made by Discovery above, they did NOT provide me with a resolution to the issues raised.
The matter went before the PMB application board, who ruled that they would not cover ANY of the payments app**** for. Just to recap, these were standard things like Ultrasounds... and this even after our fetus was diagnosed with Hydrops.
People, think VERY carefully about being on Discovery if you are planning on a pregnancy...
Dear damian-burnett
We’ve just sent you final feedback by email. Please contact us if you have any other queries.
Regards
Nirvana
Dear damian-burnett
We’ve just sent you final feedback by email. Please contact us if you have any other queries.
Regards
Nirvana
