PM
Pramodh M

1 reviews | Active since Jan 2011

21 Oct 2023, 01:49

Discovery Heaalth useless in paying from Medical Savings Account (MSA)

My hearing aids cost R70,000 in total. My Discovery Health medical aid plan (Classic Comprehensive) annual provision for hearing aids only went up to R28,200. The balance had to be paid by me.

I app**** to Discovery for a special claim for the balance to be deducted from my medical savings account. I received a letter on 20 September 2023 saying that the application was APPROVED and that the money would be in my account within 2 - 3 working days. I checked on the 26th - nothing, 27th - nothing, 28th - nothing.

It took a month of calls directly to Discovery Health as well as through my employer's wellness brokers to FINALLY get my money. They deposited it on Friday, 13 October 2023. They forgot to the deposit after verifying my bank account details.

I want to commend Emmanuel Tembe, who works at the call center, for proactively phoning me every day to keep me updated and escalating my query to their Finance and other departments for urgent assistance. One of the people he escalated the query to was Thulile Zondi (senior consultant - Discovery KZN) who, just like Emmanuel, treated my case with urgency and kept me updated daily to the point that the problem was resolved.

Without these two amazing people assisting me, it would have been financially detrimental for me to settle my bill with the audiologist.

Adrian Gore has a legal crime syndicate masquerading as a medical aid where they ***** mony from their members.

0
Replies (3)
Discovery Health
Discovery Health's reply23 Oct 2023, 06:59
Official
Dear Pramodh M

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 reply23 Oct 2023, 16:50
Official
Dear Pramodh

We have been in touch with you to answer your comments.

Regards
Discovery Health Servicing Team

PM
Pramodh M's update01 Dec 2023, 00:51
Reviewer Update
Closeout: After a month of back and forth, Discovery FINALLY paid me out on 13 October 2023.