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Ava D

1 reviews | Active since Jun 2013

05 Feb 2015, 12:27

Untouchables at Discovery Claims

I have been with Discovery medical aid since 1999 i think. 2013 I travelled abroad and returned in Sept 2014. My son was born overseas and we furnished all the documents and explanations and supporting documents and invoices for the claim. <br> <br> My wife had fibroids and could not travel to give birth in SA.<br> <br> Every week i call discovery only to be told that :<br> 1- Claims people are not contactable.<br> 2 - ITC goes through the call centre<br> <br> to date i have never received feedback or been called by discovery to discuss or ask for any clarity.<br> For instance i get told the statement does not show whether it is natural or C-section. I suspect they must have some high IQ people looking at claims, since it is rather obvious a women with fibroids and her doctor advised her not to fly. nice question or is it rather obvious.<br> <br> My point nobody calls me, I have been calling discovery since Aug to sort out this, yet i have not received one call from them, just repeated requests for clarity. I requested a manager call me, still waiting.<br> <br> I either want all my premiums back since end 2013 or they must pay the claim which is less that my total premiums paid up to date.

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Replies (1)
Discovery Health
Discovery Health's reply09 Feb 2015, 18:32
Official
Hello avdehkordi,

Thank you for speaking to me.

I would like to apologise for the manner in which your claims query was dealt and for any frustration this has caused you.

I investigated your query and confirmed that international claims submitted to the Scheme do require additional information before this can be processed. The Scheme needs to ensure certain requirements are met in order to process your claim correctly from the International Travel Benefit. I sent you a detailed email which provides you with clarity on the information we are outstanding in order to assist you with finalising your query.

You're welcome to contact me directly should you have any questions regarding this. I look forward to helping you resolve the matter.

Kind regards
Bruce