HL
Hloni L

1 reviews | Active since Jul 2016

24 Dec 2019, 08:56

x2 Claims Rejected because I wouldn't drive 150km to go see a GP

Claim rejected because I didn't drive 150km to a network GP. I was on the road, child and wife developed fever, and Discovery has rejected the claim. Janine Govender of Discovery Health says to me "you shouldn't be on that cover if you going to travel" (listen to the recording and quote verbatim), I mean, just because I am on a network cover - which of the discovery one's isn't?! - I then should be bound to home? Mind you, I didn't leave the borders of South Africa, I went through a town that connects Gauteng and KwaZulu Natal!

My daughter was subsequently admitted into a non-network hospital for 3 days due to the severity less than 24 hours later, so this clearly wasn't us trying to simply uplift the local economy of the small town we were passing through!

0
Replies (3)
Discovery Health
Discovery Health's reply24 Dec 2019, 09:00
Official
Dear Hloni L

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

HL
Hloni L's update24 Dec 2019, 09:09
Reviewer Update
I believe you have all the info you need to conclude the matter. The reference number, ***, should give you all the info to publicly conclude this here without the usual "give us your contact details so we may contact you".

FOR THE RECORD, I have not completed the form to apply for "Application for out-of-hospital management of a Prescribed Minimum Benefit condition 2019" as it is clear that we had an emergency in a town that is 330 km from our home address. We didn't spend an extra 3 nights in the town because we wanted to be on holiday!
Discovery Health
Discovery Health's reply30 Dec 2019, 11:44
Official
Dear Hloni L

We have been in touch with you to answer your comments. 

Regards
Discovery Health Servicing Team