Discovery Health
Deceptive optical policy

I am on classic priority scheme and sent in a claim on 29/01/2014 for prescription sunglasses. Discovery approved the lenses and tinting, and even to use bigger lenses to fit the sunglasses however they reject paying for the frames. They claim that its COMESTIC.

NOWHERE in the optical policy do they state that they wont cover prescription sunglasses. Then they go a step further to say if I choose normal glasses frames (at any cost) they would cover them?! Meantime I chose GUESS branded frames for my seeing glasses (which discovery covered last year) and yet they wont cover the R1119 for GUESS sunglass frames?

This policy is deceptive as they hide under the fact that the general exclusions on their GENERAL policy states they wont cover anything cosmetic treatment or not medically necessary.

Might I add that the entire optical expense comes off my medical saving regardless (of which I have plenty of funds available).

Company: Discovery Health
Country: South Africa
City: Policies

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