AP
Ashendrie P

1 reviews | Active since Nov 2010

21 Jul 2022, 21:56

Despicable Service from Discovery and St Augustine Health Service Providers

On the 6th April 2022 , due to serve acid reflux, since Nov 2021, I eventually plucked up the courage to get bilateral scopes done. I got my pre -auth number from Discovery. I was informed by doctor reception and Discovery i had to pay co- payment of R8150. Upon registration at St Augustine , I paid this this co - payment from credit card. It was a day procedure . Hospital bill came to R5023 , which hospital submitted to Discovery - and payment of R4038 was processed out MSA. I now needed to claim from gap cover,, who informed me that the co -payment had to be reflected on my claims history, i was also told that 4038 should be paid out of hospital benefit . my MSA was adjusted and i was told that there will be no reversal. I did get a reimbur*****t from hospital for R7165.Then a few days later Discovery reversed the payment to hospital , i then had the hospital huffing and puffing down my throat for R4038 ., which i paid , in essence I paid the bill. at this stage i am still trying to get discovery to show the co- payment on medical history to get gap cover claim going. Discovery advised that hospital should have added co payment to the claim . my word. the drama does not end here and this was going on till June 21. when Discovery advised that a payment will be released to hospital for R5023. the hospital claims that they cannot find R5023 on the remittance from Discovery and also claiming that they can only see R984 . I cannot believe the mentality ,caliber of the people that i have been dealing with from April till today and till today issues is unresolved by both Discovery and St Augustine. Only after advising the hospital and discovery rep that i am engaging and attorney and that the bill with be for both , then i get a call from the hospital head of accounts to advise that this has been escalated with Discovery, I feel more sick and this has impacted my acid reflux more and also my emotional well being . I will never go back to St AUGUSTINE. and will never buy a Discovery product. Unfortunately i am stuck with Discovery medical aid to work contractual agreement with Discovery .

0
Replies (1)
Discovery Health
Discovery Health's reply22 Jul 2022, 10:19
Official
Dear Ashendrie P

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