Refusal to pay PMB claim during Waiting Period

<p>Good Day</p> <p> </p> <p>I was hoping to avoid having to put a complaint on Hello Peter but after having exhausted all possible official Discovery Health official help channels, you leave me no choice but to try to settle this via Hello Peter. I must say that that after having joined Discovery Health in Jan 2017 hoping to have joined the best Medical Aid in SA, this leaves me deeply disappointed.</p> <p> </p> <p>My family joined in Jan 2017 and was put on a 3 month waiting period. During this time I got approval for a scan to be performed as a PMB. The rule is that a PMB is to be paid during the waiting period, correct?Discovery sent the approval document to me. However now the PMB claim keeps getting rejected on the basis that it is during the waiting period. I have sent numerous emails and attached the approved PMB document, spoken to many Consultants, but still the claim keeps getting rejected for the same reason - that the PMB claims falls in the 3 month waiting period. </p> <p>Please contact me to sort this out once and for all or I will have no choice but to lodge a complaint with the Council for Medical Schemes.</p> <p>Thank you</p>