********* Discovery Medical Aid not paying insured benefits and not automatically activating maternity benefits; AVOID!

Good day

I'd like to lay an official complaint against Discovery Health medical scheme.

I'd like to know why my hygienist visit (Claremont, Cape Town, Western Cape, South Africa) wasn’t paid from medical aid benefits; they can’t tell me it’s because my medical savings is up as I chose a comprehensive insurance and assume that once savings are depleted the cost would be covered under insured benefits.

Dentist: Everson A A Claimed: R732.70 claimed for date of healthcare service 2018/09/06 Paid to: No payment.

I need Discovery to please organize me a refund; if not then I’ve had enough of Discovery medical aid and WILL cancel my cover/ leave Discovery.

It’s incidents like these that show how much clients are ********** as I pay over R4k in monthly cover but have to pay out of my own pocket! I might as well get a hospital plan (not with Discovery alas for them) going forward and self insure the rest.

When my wife fell pregnant, I also was not informed that I had to ask for the maternity benefit to be activated rather than Discovery having the decency to automatically do so and I only found this out after our 3rd antenatal scan, which this completely obliterated my savings pocket (is it too much to ask for these initial scans to be reimbursed?)

Thanks Discovery for placing their shareholders interests ahead of policy holders. Little wonder their operating profits are up 17% this past year and they're sitting on over R10bn in cash.

Annoyed and disappointed possibly soon to be ex client. Alex Rodrigues **********

MailRef# ********** 855 Member: Alexandre Rodrigues - ********** 01 Med Aid: Discovery medical aid: Classic Delta Saver