1 reviews | Active since Jun 2019
DISCOVERY CLAIMS REIMBUR*****T NIGHTMARE, AND CHANGING YOUR DISEASE ACCORDING TO THEIR NEED...
1) I WAS DIAGNOSED WITH TB AFTER MY OPERATION, NOW TO GET MY DISEASE REGISTERED AS PMB AT DISCOVERY WAS DISASTER, ACCORDING TO THEIR PANEL , MY RESULTS FALL IN THE CATEGORY OF LAPROSY , OTHER MYCOBACTERIAL DISEASE..MEANING A TERRIBLE SKIN DISEASE, WHICH I OBVIOUSLY DONT HAVE, SO FOR THIS REASON I CAN CLAIM MY CONSULTATION FEE BACK, AS THE ICD10 CODE ACCORDING TO THEM IS NOT THE SAME, THEY DONT WANT TO RECOGNISE MY DISEASE AS TB, WHICH IS NOT A TRUE REFLECTION, BECAUSE THEY GRADE YOU AS TB ONLY USING THE GOVERMENT HOSPITAL CRITERIA, AND MY VERY EXPENSIVE LAB RERSULTS ARE NOT RECOGNISED? 2)MY MEDICATION I GET 1TIME A MONTH, BECAUSE MY TREATMENT IS FOR 6 MONTHS, SO I STARTED IT ON 5 MARCH, THEN I WENT TO PRETORIA FOR A WEDDING, WHICH WAS SUPPOSED TO BE FOR A WEEKEND, SO I DID NTO PACK ENOUGH MEDICATION FOR LONGER, BUT FINE I GOT ILL WAS HOSPITALISED THERE AND HAD SEPTIC SHOCK WITH MY KIDNEYS, I ALMOST DIED, SO IN HOSPITAL THEY GAVE ME THE MEDICATION I NEEDED BUT WAS DISCHARGED WITH OUT, AND I WAS GOING TO BE IN PRETORIA ANOTHER WEEK SO I NEEDED MEDICATION BECAUSE I AM NOT SUPPOSED TO SKIP IT, THEN IT WAS 23TH OF MARCH I COLLECTED MY APRIL STOCK SO I COULD JUST HAVE MEDICATION TO GET ME THROUGH TO WHEN I GOT HOME, NOW WHEN SUBMITTING MY CLAIMS FOR THE MEDICATION FOR RE IMBUR*****T THEY DONT WANT TO PAY THE ONE FOR THE 26TH OF MARCH AS IT WAS NOT DUE YET, AND SYSTEMATIC ONLY APPROVES IT FOR A MONTH. I CALLED AND THE AGENT TOLD ME THOUGH SHE FULLY UNDERSTANDS MY SITUATION , AS SHE CAN SEE I WAS HOSPITALISED AND ALSO THE INVOICE IS FOR DIFFENTE TOWN THAN I USUALY GET, TEN SHE SAID SHE WILL ASK MANAGER IF THEY CAN OVERRIDE IT, AND AFTER WAITING FOR A WHILE SHE RETURNS TO ME TO SAY UNFORTUNATELY THEY CAN ONLY IF YOU HAD AN AUTHORISATION LETTER IF YOU WERE TREATED OUT OF THE COUNTRY MAYBE DO IT, BUT NOT FOR MY SITUATION, HOW UNHUMAN NOT TO UNDERSTAND THE SITUATION I WAS IN, I STILL AM ILL AND WITH THIS DISEASE LOST ALOT OF MONEY, SO NOW A MERE THING THAT COULD BE CORRECTED IF A HUMAN LOOK AT IT, BUT NO, I JUST GET THAT STUPID RESPONSE.
FOR EVERY LITTLE **** YOU HAVE TO GET AUTHORISATION, MAYBE WE SHOULD EVEN ASK DISCOVERY FOR AUTHORISATION IF WE MAY DIE TOO? I AM SOOOO DUMB TO HAVE EVER JOINED THEM, I DONT RECOMEND IT FOR ANYONE.
Your concerns are important to us and we will be in touch soon with an answer to your comments.
Kind regards
Discovery Health Servicing Team
Your concerns are important to us and we will be in touch soon with an answer to your comments.
Kind regards
Discovery Health Servicing Team
