1 reviews | Active since Dec 2014
wrong info in times of need from trusted provider
On the 7 October I went to see the gynaecologist for a checkup at olivedale clinic. She picked up that I have ectopic pregnancy and I needed to do emergency surgery because the baby was dead and sitting in the tube. I had to call discovery my medical aid to explain what I was going through because the doctor even gave me authorisation codes to explain to them my emergency surgery. They said I can only get help only under network hospital or pay R5950 because olivedale is not under essential delta network of my plan. They didn't't mention that under emergency I don't need to pay this amount. What got me angry is that after driving all the way from olivedale to life fourways, they decided to authorise for olivedale anyway though they told me to go to Brenthurst or life fourways. They don't care about their people. Something could have happened to me while driving from olivedale to life when they knew I can be helped at olivedale. Said to experience such trauma in my life.
Thank you for your comment.
Please accept my sincerest apologies on behalf of Discovery Health for the inconvenience caused by the incorrect confirmation of benefits when you called for authorisation on 7 October 2015. In an emergency situation you are covered at the closest facility until your condition has been stabilized. An emergency situation is defined as the sudden and, at the time, unexpected onset of a health condition that requires immediate medical or surgical treatment, where failure to provide medical or surgical treatment would result in serious impairment to bodily functions or serious dysfunction of a bodily organ or part, or would place the person's life in serious jeopardy
This matter has been addressed with the relevant team and we have put the necessary processes in place to avoid similar occurrences in the future.
Please do not hesitate to contact us should you require any further assistance.
Regards
Annelize
Thank you for your comment.
Please accept my sincerest apologies on behalf of Discovery Health for the inconvenience caused by the incorrect confirmation of benefits when you called for authorisation on 7 October 2015. In an emergency situation you are covered at the closest facility until your condition has been stabilized. An emergency situation is defined as the sudden and, at the time, unexpected onset of a health condition that requires immediate medical or surgical treatment, where failure to provide medical or surgical treatment would result in serious impairment to bodily functions or serious dysfunction of a bodily organ or part, or would place the person's life in serious jeopardy
This matter has been addressed with the relevant team and we have put the necessary processes in place to avoid similar occurrences in the future.
Please do not hesitate to contact us should you require any further assistance.
Regards
Annelize