How to claim

 

Submit your claim fast and easy in any of these 3 digital ways

01

Discovery app

Use your smartphone camera. Download the Discovery app from the App Store or Google Play, log in and take a photo of the claim.

If the claim has a QR code, simply scan the QR code from within the Discovery app.

 
02

Upload your claim

Scan and upload your claims. Upload your claim now

 
03

Email your claims

Scan and email your claims to claims@discovery.co.za

You can also submit your claims by post by sending your claims to: Discovery Claims, PO Box 784262, Sandton, 2146

View and track my claims

A summary of your claims is available when you log in. You can search for a claim, view your claims statement or download a claims transaction history.

What to remember

  • Submit claims within four months. Older claims will be considered expired and will not be paid.
  • Check the claim to make sure the following details are correct and clear:
    • your name and membership number
    • the name and practice number of the healthcare provider
    • the date on which the service was provided
    • the relevant consultation, procedure codes or Nappi codes and diagnostic (ICD-10) codes
    • the total amount charged for the service
  • Include a receipt if you paid for the claim.
  • Send a detailed claim and not just a receipt as we need the details of what you are claiming for in order to process your claim quickly and correctly.
  • If the healthcare provider sends the claim to us electronically, you don?t need to send us a copy.
 
 
 
 
 

Payment of claims

Most healthcare providers will submit claims directly to the Scheme in which case you do not need to submit the claim. Claims will be paid directly to the healthcare professional when they bill the Discovery Health Rate. If the healthcare professional claims more than the Discovery Health Rate, the Scheme will reimburse you and you will be required to pay the full amount to the healthcare provider. Cash claims and claims payable to members are paid weekly.

To update your debit order or your claims payments banking details, please log in. You will receive an OTP (one-time PIN) that will be sent to the registered cellphone number or email address we have on system. This pin will verify and confirm the change being actioned through the website.

 

The Discovery Health Medical Scheme is an independent non-profit entity governed by the Medical Schemes Act, and regulated by the Council for Medical Schemes. It is administered by a separate company, Discovery Health (Pty) Ltd, an authorised financial services provider.

Copyright 2017 Discovery Limited. Subsidiaries of Discovery Limited are authorised financial services providers
Log in
Forgot?
Register

Forgot username and password?
Trouble logging in?
Need an online account? Register.

Forgot username and password?
Trouble logging in?
Need an online account? Register.