POOR FOLLOW UP AND SERVICE

FIRST WEEK OF JULY 2024, I FOUND OUT THAT I WAS PREGNANT AND UNDERSTANDING THE RULES OF HOW MEDICAL AID WORKS I IMMEDIATELY ACTIVATED MY MATERNITY BENEFITS WHICH I HAVE DONE WITH PREVIOUS PREGNANCIES. 7 DAYS LATER I VISITED MY OBSTETRICIAN FOR MY FIRST CONSULTATION. DISCOVERY DECIDED TO DEDUCT FROM MY SAVINGS WHICH I MADE SEVERAL CALLS TO TRY AND SETTLE THIS. THEY RESPONDED BY BLAMING MY PROVIDER FOR SUBMITTING AN INCORRECT CODE WHICH INDICATED THAT IT WAS A GENERAL CONSULTATION. THE NEXT 4 MONTHS WERE HELL BECAUSE I HAD A MISCARRIAGE , THEN I FIND OUT THAT DISCOVERY HAS PAID FOR OTHER CLAIMS EXCEPT FOR THE FIRST ONE. I HAVE CALLLED PLENTY TIMES AND THEIR CONSULTANTS TRY AND ASSIST. BUT CLEARLY SOMETHING WAS NOT HAPPENING. I EVEN WENT AS FAR AS ASKING IF THE DATES WILL NOT AFFECT THE PAYMENT THEY TOLD ME IT WOULD NOT. TODAY I RECEIVE AN EMAIL SAYING THAT DISCOVERY WILL NOT PAY MY PROVIDER BECAUSE THE CLAIM WAS SUBMITTED LATE. NOW MY QUESTION IS WHAT IS LATE AND WHY HAVE MEDICAL AID IF I HAVE TO COVER THE COST MYSELF WHEN THERE IS PROOF EVERYWHER THAT I TRIED TO SORT IT OUT. IM DEEPLY DISAPPOINTED IN THE MEDICAL SCHEME AT THIS POINT BECAUSE THEY ARE BEHAVING LIKE THEY DONT HAVE SYSTEMS THAT CAN TRACE THESE AND THE EASIEST WAY OUT IS TO REJECT CLAIMS.