1 reviews | Active since Jun 2012
The great Discovery rip-off
So we spend in excess of R10 K Month for a family of 4. Two of the members need glasses and Discovery say insufficient savings funds available to justify the expense of R5000 (over and above a threshold of R8000 to be paid by us to reach a situation where Discovery will approve the expense) and very little has been used by us thus far for \out of hospital expenses". So in essence they are in turn using our cash to actually pay an \""out of hospital\"" expense which in my view is an ambiguous scenario to say the least. Almost a self justifying \""Ponzi-scheme\"" at the cost of the member. We will be moving across to an alternative service provider in January 2016. My advice is steer well clear of the great DISCOVERY rip-off as there is no benefit whatsoever for paying family members who are generally in good health."""
Thank you for your comment.
The Medical Savings Account (MSA) covers the cost of day-to-day expenses, such as visits to the general practitioner (GP) and to the dentist, as well as the cost for medicine.
The Optical Benefit covers healthcare services in respect of eyes, vision, visual systems and the processing of visual information. On your chosen plan type there is a limit of R3 850 per person for the year for Optometry. This limit applies to claims paid from your MSA or Above Threshold Benefit (ATB). This is not a separate benefit; you need to have funds in your MSA or have reached your ATB before we pay up to this limit. We pay up to 100% of the Discovery Health Rate for the optometrist. If you are in the self-payment-gap, you will need to fund for these claims from your own pocket and we will accumulate it towards closing your SPG up to the Scheme Rate.
We are sorry that you feel this way and hope that our interaction with you has brought some clarity to the situation.
Regards
Annelize
Thank you for your comment.
The Medical Savings Account (MSA) covers the cost of day-to-day expenses, such as visits to the general practitioner (GP) and to the dentist, as well as the cost for medicine.
The Optical Benefit covers healthcare services in respect of eyes, vision, visual systems and the processing of visual information. On your chosen plan type there is a limit of R3 850 per person for the year for Optometry. This limit applies to claims paid from your MSA or Above Threshold Benefit (ATB). This is not a separate benefit; you need to have funds in your MSA or have reached your ATB before we pay up to this limit. We pay up to 100% of the Discovery Health Rate for the optometrist. If you are in the self-payment-gap, you will need to fund for these claims from your own pocket and we will accumulate it towards closing your SPG up to the Scheme Rate.
We are sorry that you feel this way and hope that our interaction with you has brought some clarity to the situation.
Regards
Annelize