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caradpreez C

1 reviews | Active since Sept 2016

25 Jan 2021, 13:12

T21 Chromosome Test Refused under Maternity Benefits

I undertook the T21 Chromosome test at an Ampath Laboratory on the 3rd of November 2020 and during this period, my Maternity Benefits were activated.

I have now received statements from Ampath saying Discovery does not cover this test. However, on your 'Cover for Pregnancy and Childbirth 2020 brochure', it clearly states: 'We pay for Non-Invasive Prenatal Test (NIPT) screening or T21 Chromosome Test from the Maternity Benefit up to 100% of the Discovery Health Rate if you use of one of our preferred providers: Next Biosciences, Ampath Laboratories or Lancet Laboratories.' I need urgent answers as to why Discovery Health is refusing my claim?

0
Replies (3)
Discovery Health
Discovery Health's reply26 Jan 2021, 07:06
Official
Dear Cara P

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

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caradpreez C's update26 Jan 2021, 16:32
Reviewer Update
Discovery 'tried' to contact me today at 12h18. The phone literally rang once after which the call was ended and I was not able to answer in the 2 seconds given to me. This is probably to show on your records that you 'followed up'. I expect an urgent answer and phone call (a proper phone call this time) to resolve the matter please.
Discovery Health
Discovery Health's reply27 Jan 2021, 10:41
Official
Dear Cara P

We’ve contacted you regarding your complaint. 

Regards 
Discovery Health Servicing Team