COMPLAINT ABOUT A PAYMENT THAT SHOULD BE PAID BY THE MEDICAL AID AND NOT THE MEMBER !!!!!!!

I'VE GOT NUMEROUS COMPLAINTS WITH THIS COMPANY BUT THE CURRENT ONE I MUST GET SORTED OUT ASAP !!!!!!!!THE STORY GOES LIKE THIS : DISCOVERY HEALTH INSISTS THAT THEIR MEMBERS MUST HAVE A CHECK UP EVERY 6 MONTHS BY A GP TO RENEW THE NECESSARY SCRIPTS REQUIRED TO VARIFY THE CHRONIC MEDICATION TO QUALIFY FOR THE CHRONIC BENEFIT FUND PAY FOR THEM, WHICH IS PART OF THE MEDICAL PLAN OBVIATING THE MEMBERS SAVING FUND HAVING TO PAY !! DISCOVERY PAY FOR THE CONSULTANTIONS FROM THE BENEFIT FUND "BUT HERE'S THE CATCH" !!!! FOR THE GP TO RENEW THE CHRONIC SCRIPTS HE NEEDS TO HAVE PROOF THAT THE MEMBER IS STILL SUFFERING FROM THESE AILMENTS THAT ARE TO BE TREATED WITH CHRONIC MEDICATION !!! SO THE GP SENDS THE MEMBER TO HAVE BLOOD TESTS DONE BY LANCET AND FROM THE RESULTS HE GETS FROM THEM HE CAN THEN VARIFY THAT THE MEMBER STILL NEEDS THE TREATMENT AND QUALIFIES FOR THE RENEWAL OF THE SCRIPTS NEEDED FOR CHRONIC MEDIACTION !!!!!!!!1"BUT" DISCOVERY WON'T PAY FOR THE BLOOD TESTS DONE WHICH COSTS NEARLY R2000.00 FOR MY WIFE AND I AS THEY SAY THAT'S FOR THE MEMBERS ACCOUNT !!!!! HOW CAN THE GP RENEW THE CHRONIC SCRIPTS WITHOUT PROOF FROM THESE BLOOD TESTS THAT THE MEMBER STILL NEEDS THE MEDICATION FOR TREATING THEIR SPECIFIC AILMENTS !!!!!! WHAT IS THE GP SUPPOSED TO DO "MUST HE JUST GUESS" OR "JUST GO AHEAD AND RENEW THE SCRIPTS WITHOUT ANY PROOF" THAT THE MEMBER STILL SUFFERS FROM THE AILMENTS THAT NEED TREATMENT !!!!!! AND TO CAP IT ALL MY WIFE AND I WENT FOR THESE CHRONIC CHECK UPS THE LATTER PART OF LAST YEAR AND DIDN'T GIVE IT A THOUGHT ABOUT WHO PAYS FOR WHAT AS WE KNEW THAT WE WERE ALLOWED 4 CONSULTATIONS A YEAR WITH A GP AS PER OUR MEDICAL PLAN !!!! THE NEXT THING I START GETTING HASSLED WITH SMSSES FROM LANCET THE BLOOD TESTING PEOPLE AT 4 WAYS HOSPITAL NOT EVEN RECEIVING A STATEMENT JUST STATING "I MUST PAY THEM NEARLY R2000.00 FOR THESE BLOOD TESTS THEY DONE FOR MY WIFE AND I !!!! SO I SENT THEM SEVERAL MESSAGES AND SAID FOR STARTERS I HADN'T RECEIVED A STATEMENT !!!! WHEN I EVENTUALLY GOT A STATEMENT I THEN SENT SEVERAL EMAILS AND PHONED THEIR ACCOUNTS DEPT TOLD THEM TO SEND THE ACCOUNT TO DISCOVERY FOR PAYMENT !!!! THEY SAID THEY DID BUT TOLD THERE WERE NO FUNDS LEFT IN MY DISCOVERY SAVINGS ACCOUNT SO THEY REFUSED TO PAY IT !!!! ABSOLUTELY RIDICULOUS !!!!!!! AS A PENSIONER ALREADY PAYING A HUGE MONTHLY PREMIUM FOR THIS MEDICAL AID COVER MUST ALSO PAY FOR THESE BLOOD TESTS JUST TO QUALIFY FOR CRONIC MEDICATION AND THEY ONLY PAY FOR THE GP CONSULTATIONS RENEW THESE SCRIPTS !!!! AND THESE SCRIPTS MUST BE RENEWED TWICE ANNUALLY AS THESE SCRIPTS ONLY LAST FOR 6 MONTHS AT A TIME !!!! SO THE MEMBER MUST FORK OUR R2000.00 EVERY 6 MONTHS FOR BLLOD TESTS TO QUALIFY FOR THE CHRONIC MEDS TO BE PAID BY DISCOVERY'S CHRONIC BENEFIT FUND !!!! NO THAT'S JUST ABSOLUTELY ABSURD !!! AS FAR AS I'M CONCERNED DISCOVERY MUST PAY FOR THE BLOOD TESTS TO ALLOW THE SCRIPTS TO BE RENEWED BY THE GP ONCE HE HAS READ THE RESULTS FORM THE BLOOD TEST AS HE CANNOT VERIFY THAT THE MEMBER STILL NEEDS THE CHRONIC MEDICATION !!! SURELY THAT STANDS TO REASON !!!! WHY MUST THE MEMBER PAY !!!!! THATS WHY DISCOVERY MAKES HUGE PROFITS IT'S BECAUSE THEY PAY AS LITTLE AS POSSIBLE FOR MEMBERS AND THE SAVINGS IS JUST A **** BECAUSE THEY TAKE FROM YOUR SAVINGS ACCOUNT WHATEVER THEY WANT TO WITHOUT YOUR PERMISSION TO WHOEVER SUBMITS AN ACCOUNT WHETHER YOU APPROVE IT OR NOT AS YOU GOT NO CONTROL OF PAYMENTS FROM YOUR SAVINGS AT ALL !!! IT'S LIKE THEM TAKING MONEY OUT YOUR BANKING ACCOUNT WITHOUT YOUR PERMISSION THAT'S WHY I WOULD NEVER OPEN A BANKING ACCOUNT WITH THEM AS I COULDN'T TRUST THEM WITH IT AT ALL !!!! I'VE HANDED OVER THIS DEBACLE TO THE MEDICAL AID BROKER AND HE HAS TAKEN UP THIS PROBLEM WITH DISCOVERY AS I REFUSE TO PAY THIS ACCOUNT AS I BELIEVE IT MUST BE PAID BY THEM AS IT'S PART OF THE CHRONIC BENEFIT THEY OFFER TO MEMBERS AND CANNOT EXPECT US TO FIT THE BILL !!!! EITHER THEY OFFER THIS CHRONIC BENEFIT IN FULL OR DON'T OFFER IT AT ALL AS IT'S NOT VIABLE FOR THE MEMBER TO FORK OUT R4000.00 ANNUALLY FOR WHAT SUPPOSED TO BE FOR THE MEDIVAL AIDS ACCOUNT !!!!!!!!!!!!!!!! JUST TO ADD A TAIL PIECE I'VE GOT TO GO FOR X-RAYS FOR A POSSIBLE BLADDER INFECTION THAT THE GP IS CONCERNED ABOUT SO I PHONE THE HOSPITAL TO MAKE AN APPOINTMENT AND AT THE SAME TIME I ASKED FOR THE COST !!! IF I PAY CASH UP FRONT AND CLAIM FROM MY DISCOVERY SAVINGS IS WAS R1200.00 BUT IF I PUT IT THROUGH MY SAVINGS ACCOUNT DIRECT IT COST R1400.00 !!!!! SO WHO'S MAKING THE EXTRA R200 ???? DISCOVERY OR THE RADIOLOGY ????? MAKES YOU THINK HEY !!!!!!!!