Discovery Health - Vitality & Team Vitality plus everything else you need to know

[nathrix]

Mine only synced this morning. Strange that it took so long.

[jcza]

Cried myself to sleep last night after riding Sani without HR strap. What if I don't make my smoothie this week??

[SeaBee]

Same here - no sync of weekends activities from Garmin...

[lerouc]

Also having problems with GC activities not syncing from Saturday and Sunday.

yeah mine also not going through, see last synced date was yesterday, morning.

[BarHugger]

Looks to me like their system is busy collapsing..........

[Pieterlab1]

Since Friday not syncing with Polar Flow either.

[BarHugger]

Let's stay calm.....let's not panic.....no negative comments......no need for smoothies.....no need for points......in actual fact it really has nothing to do with the points......it's actually all about a corporate taking your money and ripping you off along the way......just stay calm please....when the time comes for that big operation you will be liable for 70 % of the theatre bill and 50 % of the hospital bill.....don't panic.....Discovery is a medical aid messiah......

[Wannabe]

Slightly off topic, but this big corporation cost me R5873.20 for a Hospital claim (MRI scan) they rejected. Heard it this morning. Slightly, just slightly, peeved off right now. 

[Thor Buttox]

Slightly off topic, but this big corporation cost me R5873.20 for a Hospital claim (MRI scan) they rejected. Heard it this morning. Slightly, just slightly, peeved off right now.

Same with me in Dec. All u had to do was be booked in overnight and it would have come out of your hospital benefit.

[Captain Fastbastard Mayhem]

Slightly off topic, but this big corporation cost me R5873.20 for a Hospital claim (MRI scan) they rejected. Heard it this morning. Slightly, just slightly, peeved off right now. 

do you have a plan with MSA? If not, then that's why. Investigative scans aren't covered unless they form part of an admission for a procedure. 

[Captain Fastbastard Mayhem]

Same with me in Dec. All u had to do was be booked in overnight and it would have come out of your hospital benefit.

no, if you're on a Core plan that won't cut it. It has to be part of a procedure ie: We know you have cancer, we're booking you in for it but we want to get an extent of the disease. 

 

Or if you're in a car crash and admitted for that, and go for a scan.

 

If you're admitted JUST for a scan, no dice. 

 

Momentum are the only ones who have cover for purely investigative scans on their basic hospital plans without MSA. ALL other med aids will not cover investigative MRI / CT / XRAY scans unless you have day-to-day cover, and even then there will be a co-payment. 

[BarHugger]

do you have a plan with MSA? If not, then that's why. Investigative scans aren't covered unless they form part of an admission for a procedure. 

Sounds like a nice little clause and easy cop out by them......what if your GP sends you to a specialist and they admit you ?

[Thor Buttox]

no, if you're on a Core plan that won't cut it. It has to be part of a procedure ie: We know you have cancer, we're booking you in for it but we want to get an extent of the disease.

 

Or if you're in a car crash and admitted for that, and go for a scan.

 

If you're admitted JUST for a scan, no dice.

 

Momentum are the only ones who have cover for purely investigative scans on their basic hospital plans without MSA. ALL other med aids will not cover investigative MRI / CT / XRAY scans unless you have day-to-day cover, and even then there will be a co-payment.

No, I am on Delta. I had already visited the Emergency room earlier in the year, so my savings were kaput. And couldn't stay overnight as my OH was in Jhb.

[eccc whippet]

Slightly off topic, but this big corporation cost me R5873.20 for a Hospital claim (MRI scan) they rejected. Heard it this morning. Slightly, just slightly, peeved off right now. 

We have the same problem...it was suggested by the specialist that my daughter has the scan..our whole savings and some gone last month

[Captain Fastbastard Mayhem]

No, I am on Delta. I had already visited the Emergency room earlier in the year, so my savings were kaput. And couldn't stay overnight as my OH was in Jhb.

Then you should just have had to pay the co-payment, and the rest would have come from the risk portion of your med aid. That would have been the same regardless of whether you were admitted or not, as it was a purely investigative scan. 

[Captain Fastbastard Mayhem]

Sounds like a nice little clause and easy cop out by them......what if your GP sends you to a specialist and they admit you ?

If it's investigative, and you're on a plan without savings, then you pay the cost of it. If they admit you, they pay the cost of the admission (bed and breakfast) but the scan is still for your account unless you have day-to-day benefits. There will still be a co-payment though, and if you have available MSA it will come from there. if you don't have any MSA, then it comes from your pocket. 

 

Standard operating procedure for all medical aids except Momentum, who has coverage for investigative scans on all but their lowest echelon plans (the ones with salary bands) 

 

Profmed, Fedhealth, Bonitas, Discovery etc. All have that distinction - which is why I recommend a plan with savings unless clients have the cash available to pay for those MRI scans themselves... 

Edited May 16, 2016 by Myles Mayhew