SQ
Shane Q

1 reviews | Active since Feb 2015

26 Nov 2015, 10:16

PMBs: Huge delays, poor service and unpaid claims!

Under South African legislation Health insurance providers are required to provide Perscribed Minumum Benifits (PMBs) to members under certain circumstances. PMBs are basically to ensure private providers provide the same services as the public system would for clients with chronic illnesses. Most of the public has probably never hear of such a thing as medical schemes really dont want you to know about them, there is a full article on the issue here: [URL Removed] <br> <br> I had a major accident in January which legally entitled me to PMBs from Discovery. Fortunately my Doctors helped me initiate the process. However, despite learning the process and putting huge amounts of time and effort into getting the correct documentation and reference documents Discovery has been nothing but TERRIBLE to deal with. They have consistently taken months to turn around decisions on approvals, missed deadlines, not approved requried codes, not paid claims which have been outstanding months and generally been extremely unhelpful. <br> <br> Have a look at other companies, Discovery is too big and disinterested to look after its clients.

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Replies (1)
Discovery Health
Discovery Health's reply23 Dec 2015, 10:10
Official
Hello S***,

Thank you for your comment.

We're investigating the details of your query and will be in contact until this is resolved.

Regards
Sirgree