DS
Darius S

1 reviews | Active since Sept 2013

29 May 2018, 11:02

Refusal to Reimburse for Services Rendered

I submitted a claim to be reimbursed for consulting Dr Shabeer Jeeva, a psychiatrist from my medical aid scheme administered by Discovery, LA Health. To my surprise, I am told that they do not pay for services rendered by this Specialist. When I asked for reason I am told that their decision and I must ask the service provider himself. I have spent R3080 with the understanding that I will be reimbursed amount as per the scheme. But dololo! Do medical aids prescribe service providers one must consult or not consult? If a scheme is having a problem with a particular provider, why should a member be penalized for consulting with him/her? I feel my freedom of choice is being tempered with. I believe problems between service providers and medical aid scheme should not involve a member! Please help, as I do I understand why should I suffer while having a medical aid.

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Replies (2)
Discovery Health
Discovery Health's reply29 May 2018, 11:31
Official

Dear Ndarara

We’ve noted your concerns and we’re investigating the matter. We’ll contact you with feedback as soon as possible.

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply01 Jun 2018, 12:01
Official

Dear Ndarara

We have been in touch with you to answer your comments.

Regards
Discovery Health Servicing Team