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michcoutinho M

1 reviews | Active since Sept 2016

08 Apr 2019, 15:50

Will find ANY reason NOT to pay out a claim! Shame on you!

I have never been so disappointed with a claim in my life! I fell playing soccer at the end of Jan before going to the Dr I called Discovery and was told as long as it is a sports related injury my medical aid will cover. I went to the Dr who of course sent me for x-rays after telling the Dr it is a sports related injury and she didn't activate it on her side due to load shedding a month later I received the bill from the radiologist no one at Discovery advised them that there was no sports injury activated I then resubmitted the claim 3 times before a agent said last week Thursday no problem all I need to do is call my Dr and ask her to activate the sports injury then resubmit the claim. I called Discovery to follow up cause I get 0 feedback unless I call them. To be told the claim will not be processed as there was no sports injury activated EVEN though I was told just last week that all I need to do is ask my Dr to activate it which is exactly what I did! I am so disappointed in my medical aid!

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Replies (1)
Discovery Health
Discovery Health's reply09 Apr 2019, 07:22
Official
Dear michelle-coutinho

We’ve noted your concerns and we’re investigating the matter. We’ll contact you with feedback as soon as possible.

Regards
Discovery Health Servicing Team