DF
DL F

1 reviews | Active since May 2022

15 Jul 2024, 10:14

Stressful Experience after Car accident.

In March, I was involved in a car accident that resulted in my car being written off. I was taken to a network hospital under my Keycare Plus plan. Despite being in significant pain, I waited for about an hour outside the hospital on a stretcher because there were no beds available. Once I was finally assisted, I was helped by a doctor and later taken for scans. Throughout the process, I repeatedly asked everyone in the hospital if I was covered for this procedure. I was assured yes, I was. Now Discovery don't want to pay the radiologist because the doctor was not a specialist. This was a car accident and not a GP visit. It was an emergency! It is unfair that my claim is now under review and could potentially leave me with a R14000 bill because the doctor at the hospital who treated me was not a specialist. This situation has been extremely stressful and disappointing. I really hope Discovery would see that this was a motor vehicle accident and an emergency and that I did not go to a specialist without referral letter. It was a car accident, not a GP visit.

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Replies (6)
Discovery Health
Discovery Health's reply15 Jul 2024, 10:41
Official
Dear Dl F

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 reply16 Jul 2024, 16:34
Official
Dear Dl F We have been in touch with you to answer your comments. Regards
Discovery Health Servicing Team
DF
DL F's update16 Jul 2024, 22:14
Reviewer Update
I'm awaiting feedback on the outcome of my claim.
Discovery Health
Discovery Health's reply19 Jul 2024, 14:24
Official
Dear Dl F We have been in touch with you to answer your comments. Regards
Discovery Health Servicing Team
DF
DL F's update01 Aug 2024, 10:30
Reviewer Update
Dear Discovery

I'm still waiting for an update on my claim. I am receiving emails/statements from the radiologist requesting payment. Could you please provide an update on the status of the claim? Thanks
Discovery Health
Discovery Health's reply23 Oct 2024, 11:22
Official
Dear Dl F Your query has been resolved. Regards
Discovery Health Servicing Team