TT
Tanja T

1 reviews | Active since Jul 2013

22 May 2015, 07:48

Sxan required for appendics bot paying

I might have appendicitis but my STUPID medical wont pay because I wasnt refered by a specialist BUT I was refered by Casualty AT hospital!!! What is the point of having medical aid if you have to pay for everything 99% of the time!!!!!!

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Replies (1)
Discovery Health
Discovery Health's reply25 May 2015, 17:42
Official
Hello Tanja123,

Thank you for speaking to me earlier.

When you visit a Casualty unit on your chosen plan type and the attending GP refers you for a scan, it will be subject to a list of scans. If the attending provider is a specialist and requests for the scan then the formulary would not apply. I have sent you an email following our discussion and hope that this will be of assistance.

Regards
Arthi