kK
kerrylisagoncalves K

1 reviews | Active since May 2017

06 Aug 2020, 16:35

Complicated process to see GP during self payment gap, wrong claim history sent to me

I needed to see my GP today. I went to see her and as I came out, the accounts person said Discovery rejected the claim for the GP visit. I called Discovery only to be told that you will not pay for my GP visit with me being in a self payment gap. Last year, I saw my GP frequently during my self payment period. Apparently communication was sent at the end of last year that I now need to see a pharmacy nurse. Do a virtual consultation. Then get referred to some other GP who doesn't even know me or my history. Discovery will do ANYTHING to get out of paying. I pay over R12 000 per month for medical aid and they can't pay R480 for my GP visit. I am sick. Where do you think I have energy to go through this ridiculously long and complicated process before even getting to see a doctor I don't even know. No Discovery. You guys are very disappointing now. Plus the call centre agent send me the claims for my occupational the****** for my daughter. And didn't send me the claims for my GP. Wow you really should train your staff better. Such appalling "service" from you.

0
Replies (3)
kK
kerrylisagoncalves K's update06 Aug 2020, 19:27
Reviewer Update
What is even worse is that the consultant told me the GP visits in July and June were not paid and were rejected by Discovery - is completely false. These two visits to the same GP as I saw today - WERE FULLY covered by Discovery. So please do tell me why you paid for those visits and did NOT pay for my visit today????? Pray tell???
Discovery Health
Discovery Health's reply07 Aug 2020, 07:20
Official
Dear Kerry R
 
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 reply07 Aug 2020, 09:55
Official
Dear Kerry R
 
We’ve contacted you to discuss your queries.
 
Regards 
Discovery Health Servicing Team