Bad Administration

<p>Like a lot of medical aid members, I am unhappy with the level of service from Discovery. It will take about six weeks from the time I submitted the claim to the date that I receive the money. I do not think that this time period is acceptable. As medical aid member if I fail to pay my membership fees for six weeks, I will be suspended. The CPA has strived to bring equality on both sides: What applies to the one party must apply to the other. The medical world is one of the few in the insurance industry where there are precise descriptions for almost every procedure. This implies no confusion and surely automation resulting in quicker response times. </p> <p>Firstly: Why does it take that long to assess a claim?</p> <p>All banks are interconnected and a delay of three days at most should exist on electronic transactions. </p> <p>Secondly: Once the claim is assessed, why does it take so long to be paid? </p> <p>Thirdly: A lot of healthcare practitioners are so fed up with medical schemes, that they are willing to give discount on cash/immediate payments. Surely I am saving both Discovery and myself money by paying the claim out of my own pocket and then submitting it to discovery for reimbur*****t. Please explain to me why Discovery gets interest on my money while my claim is being processed - it affects my cash flow and my bank charges me interest on money I tried to save?</p> <p> </p> <p>Lastly I would like to suggest the following: Since Discovery is an innovative company that rewards members for 'good behaviour', why not implement a reward behaviour for members saving the scheme money.</p> <p> </p>