Conea Transplants

[kavishna8]

Hi There

Please help, i need a conea transplant and just want to know if Discovery would pay for the whole thing? Anyone had experiences recently with this.

Many Thanks

Kavi

 

[UrBaN963]

Cornea transplant I imagine.

Have you tried asking Discovery? Seems like they would be able to tell you what you're covered for.

Would depend on your policy and various other things.

 

[maumau]

Yes Kavi, rather phone Discovery and they'll tell you. You can get a reference number for the phone call.

 

[DanH]

I had a cornea transplant done 2years back.

My medical aid(not discovery) paid 100% of the operation costs, but for the actual donar cornea they only covered up to R12 000. This would have more than covered a South African sourced cornea but they were not freely available and there were long waiting lists.

My specialist sourced one sourced from USA at R22 000, so I had to pay in R10 000.

Get your specialist to give you the relevant procedure codes and then aproach your medical aid for pre-aproval.

 

[Grant]

call discovery and ask for a hospital case manager to be assigned to you

from the case manager, find out who the "dsp" (designated service providers) are for this type of surgery.

once you choose a hospital, speak to the hospital manager and request they charge you at medical aid tariff (avoiding co-payment)

ask your opthalmic surgeon to work within discovery's tariff (ask him to ask the members of the surgical team to do the same) - again, avoiding co-payments

if you do not make these requests all service providers will simply invoice at thier normal tariff & you will in all probability be faced with numerous co-payments