oM
orrin M

1 reviews | Active since Dec 2019

30 Jan 2020, 15:07

BUSY DYING, WE WILL NOT PAY FOR YOUR MEDICATION

It's been a long and tough road. Stating with my wife falling very ill, and had to be admitted to Christiaan Barnaard hospital, upon which I got a authorization number from Discovery for this. A few days later the authorization number was revoked, (non disclosure-Discovery's reason). Fortunately I don't take things lying down and got this sorted over the next few days. Me dealing with my wife's illness(still don't know what it was), my kids, discoveries ********* and non-sensitive approach to her health was extremely tough on myself to say the least. Fast forward, 19 days later my wife passed, so this is a massive loss for us. Fast forward again, the bills started coming via e-mail, which is only natural, upon which I requested a remittance from them. I discovered that they had not paid for a specific drug upon which I contacted them. They then requested that I submit MMC forms, and a section 21 form from the treating physician. TAKE NOTE THIS IS ALL ME CONTACTING THEM OVER A NUMBER OF DAYS(STILL HAPPENING),MULTIPLE PHONE CALLS AND E_MAILS, WITH NO ONE UPDATING ME ON ANYTHING-POOR SERVICE. I actually discovered that they did receive the documents while my wife was alive, and told me that they did not( HAVE EVIDENCE OF THIS). Like the kind of person I am, I submitted it 2 times, and the hospital also submitted it twice, upon which they only paid for 1 dose, and there is over 20 doses in total. THEM NOT PAYING CAUSED ME TO RECEIVE A BLACK LIST NOTICE FROM THE PROVIDER, AND I AM A SINGLE STRUGGLING FATHER WITH 2 KIDS AT SCHOOL. Now, my question is why must I always fight with discovery to do there part.

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Replies (2)
Discovery Health
Discovery Health's reply31 Jan 2020, 12:14
Official
Dear orrin M 
 
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 reply03 Feb 2020, 14:42
Official
Dear Orrin M
 
We have been in touch with you to answer your comments. 

Regards
Discovery Health Servicing Team