GO
Gaby O

1 reviews | Active since Feb 2015

12 Feb 2015, 12:44

Worst Medical Aid EVER!!!

In November last year I had a huge abscess in my sinus that needed to be removed surgically before it caused any further damage to my sinus and teeth.This was a procedure that had to be done in hospital. I immediately contact Discovery after meeting the dentist to confirm which Maxillo Facial Surgeon I should contact.. I was told by Discovery to contact Wilgeheuwel or Fourways for an appointment. I arranged an appointment at Fourways . I hade to pay all fees for the consultation as well as the surgery upfront. I called Discovery with all reference numbers and procedure codes given to me for Authorisation. I was informed that all procedure codes were covered in full under my package and was given AUTHORISATION to have the procedure done. I had the procedure a few days later as it could not wait. After for a few days I submitting all my invoices/slips that I had paid for.I was informed that Discovery was not going to refund me as it's deemed a dental procedure/elective surgery. I spent R33000 with Discovery in 2014 and still had to pay R11000 for op only to fight for months to get only R2300. I cancelled due to this. Now they want the R2300 back! You have some nerve DISCOVERY!!!!!

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Replies (1)
Discovery Health
Discovery Health's reply13 Feb 2015, 17:18
Official
Hello Goosterbroek,

Thank you for speaking to me earlier.

I am currently investigating your query and will keep you updated on the progress.

Kind regards
Rishana