Time for a rate review Discovery!

Dear Discovery,

Please answer my queries below - in writing. Please don't give me the usual "We are looking into the problem" answer I see on all your complaints.

Medical scheme rates: I cannot find any of the following healthcare professionals within a 100km radius of my location that is fully covered.: occupational the******, dental specialist or psychologist - (I'm pretty sure if I keep searching the list will get a lot longer) - This leads me to believe that what you refer to as 100% cover is not enough for the services the healthcare professionals offer. 1. How often do you review the medical scheme rates and on what do you base your rates? 2. How is it that I cannot find even one in a 100km radius of my location? 3. Perhaps you can find me an occupational the******, dental specialist and psychologist in our area that will be paid in full by Discovery? 4. Will Discovery review the scheme rates? Seeing as there are none of these healthcare professionals within a 100km radius of our location, Discovery is clearly not committed to paying these professionals the going rate and as such not committed to the health of their medical aid members. People very often misunderstand what 100% cover means. Well let me explain. 100% cover is the rate that Discovery decides is fair. So if you go to an oncologist / surgeon or whatever and Discovery feels that the healthcare profession should get R100 but the healthcare professional rightly charges (he is a healthcare professional after all) R300, this means that discovery will pay R100 and according to them, the healthcare professional bills 300% medical scheme rate…. And you are stuck with a R200 bill. ------------------------------------ Carol-Anne van der Merwe