1 reviews | Active since Nov 2016

24 Aug 2021, 16:45

Authorisations NIGHMARE!!

I would like to start this review off by saying that I have been a Discovery Health member for most of my life, and I would have never wanted to move, at least not before today's experience.

I am highly dissapointed and still sick as hell as I was unable to receive the treatment I had scheduled for today! I could drop dead, and they would still expect me to wait 3-5 hours for my prescription meds to be authorised. I suffer with iron deficiency and was booked to have the Feri-inject iron transfusion done at my Physicians rooms, the medical aid had authorised this, and I would have had to only pay cash for the miscellaneous items, and perhaps a small co payment on the meds, I get to the pharmacy to collect the meds and take them up to the Doctors rooms, the pharmacist puts through the script and I was told that I had a R3,700 co payment, which couldn't be correct as I was informed that this procedure had already been preauthorised. The pharmacy had then called the medical aid and after just over 30 minutes on the phone with the medical aid, there was still no joy, and she was told that we had to wait 3-5 hours for the authorisation to be corrected. By this time the Doctor's rooms had already called to say that they won't be able to carry out the procedure as it had already been 45 minutes later, and I was still at the pharmacy waiting for the meds to be authorised, which mind you, had already been preauthorised! What I couldn't understand is why I needed to pay R3,700 for meds that cost roughly R5,000 which was supposedly already authorised, and I did receive a notification from Discovery saying it was.

Almost an hour later, and I had to leave the hospital without getting the treatment that I needed, the doctor was unable to give me another date as he was fully booked through to December, aside from not having the procedure done, this has also cost me half a day off work.

I don't know when or how this will be resolved, but it seems due to admin issues my health has to take the back seat!

I look forward to hearing back from discovery.

0
Replies (2)
Discovery Health
Discovery Health's reply25 Aug 2021, 08:23
Official
Dear Raveshni C

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
Discovery Health
Discovery Health's reply25 Aug 2021, 16:20
Official
Dear Raveshni C

We’ve contacted you to discuss your query.
   Regards Discovery Health Servicing Team