SM
Sihle M

1 reviews | Active since Feb 2014

20 Apr 2016, 20:14

Poor service on a claim

I submitted a claim to Discovery on the 5th of April (Ref ***), and 15 days later, I have not heard from any of the claims consultants, the only communication I have received was the automated email that gave me this reference number. <br> <br> After my son was born, his paediatrician did the necessary evaluations and follow-up visits to make sure everything was okay. The total bill was around R1700, they paid around R850 for the consultation at birth from my medical savings, and they rejected the claim for the follow up visits for the remainder. Why?Because of some codes or God knows what. So I paid him in cash, and now I'm claiming that amount from Discovery, but I'm being given the run around. <br> <br> You guys wont pay for my sons checkups because of some codes that I know nothing about?? Okay, maybe you guys cant claim from my hospital benefits without pre-authorisation or whatever it's called, but:<br> <br> 1.Does that justify IGNORING me for 15 DAYS?<br> 2. If you cant claim from my hospital benefits because of the bureaucracy of your institution, then why cant you claim from my day to day savings?<br> <br> This is less than half the premium I pay you guys every single month, just give my money back.<br>

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