1 reviews | Active since Mar 2013
useless medical aid
I had an emergency on the 14/06/2015 @ 4am and had to visit the ER as i had a severe ear ache. I was assisted by a Dr from the ER who wrote me a prescription for pain killers & referred me to an ear specialist i was 2 see on Monday. I called discovery twice in the morning after the doc i was supposed 2 c advised me that they only take cash & not medical aid & i asked them if they had ear specialists in their network i could go 2 and use my medical aid instead of paying cash. I was told there was 1 in sandton but i had 2 be referred by my GP 4 me 2 be able to see him which is a useless process when you are in pain. I decided 2 go and see the doctor and made cash payments for the consultation, procedure and the medication and then sent all the info to discovery claims Ref Nr:***. I called 2day & i was told my claim had been rejected bcoz i was supposed 2 get a ref no from discovery b4 going 2 c the specialist. How was i supposed 2 know this?? I called your call center twice that same morning (check your call recordings) and not even 1 agent mentioned this 2 me otherwise i would have asked the doc from the ER 2 request a ref. What is the point of paying R1.300 every month
Thank you for your comment.
The intent of the Specialist Benefit is to assist members on your chosen plan type when they need to visit a specialist out-of-hospital, for a pre- or post-operative hospital visit. We confirmed that the process on how to obtain an authorisation to visit a specialist in order to ensure that your claims are funded accordingly. We've emailed you more information regarding the process.
Please feel free to contact us should you require any further assistance.
Regards
Dima
Thank you for your comment.
The intent of the Specialist Benefit is to assist members on your chosen plan type when they need to visit a specialist out-of-hospital, for a pre- or post-operative hospital visit. We confirmed that the process on how to obtain an authorisation to visit a specialist in order to ensure that your claims are funded accordingly. We've emailed you more information regarding the process.
Please feel free to contact us should you require any further assistance.
Regards
Dima
