SR
Sean R

1 reviews | Active since Dec 2018

26 Dec 2018, 16:53

Discovery co payment riff raff

So im a member of the La health medical aid scheme.

August 27 2018.

scheduled c section of my son at Chris Barnard Hosp in fores****.

Sent through codes for pre authorisation. Was accepted . The hospital is a network hospital and were under full cover.

Everything went fine and son was born.God is good , all the time. At no stage was i told about any doctor being above the medical scheme rate. Oh and of course my son was being born after a complicated pregnancy so I wasnt asking every person if they fully covered in a network hospital which according to my scheme is fully covered.

Got co payments from a few doctors. Remember hospital is a network hospital full coverage according to my plan. I had followed all the rules. Done the pre authorisation.

First my partner took it upon herself to phone and figure out what was going on. Due to me working on the road i thought cool and let her head up the fight.

They said they would investigate and call back . They never called back.

She then called a month later to which she got the response no you arent the main member.

I then called to which it will be investigated and they will contact me.

They never returned the call. In Dec 18 i decided email , the info email as advertised on site.

I explained everything . Just got emails saying they are out of medical aid scheme rate and that I am liable. I asked for contacts of people higher that a service call centre agent.

Just gets ignored. I spend my hardworking money on medical aid to ensure that when i need them it is suitably so that I have no co payments. R5000 A MONTH is not a joke and they dont evem have the decency to extend proper customer service to me or my partner.

They tried to call me one time and i was busy driving. I didnt pick up as it is *******. In the following email i also said i work on the road and they should call me more than just one time knowing that I have an issue to be address.

They have wasted my time money and put me under credit scrutiny by doctors who want their money.

Total un proffesional service making promises they cannot keep.

Discovery you are a joke.

Consider myself an ex client

0
Replies (2)
Discovery Health
Discovery Health's reply27 Dec 2018, 07:30
Official
  Dear *** 

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 reply28 Dec 2018, 12:22
Official
 Dear *** 

Please check your emails for final feedback from us. 
Regards
 Discovery Health Servicing Team