1 reviews | Active since Nov 2010
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 .
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
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
