CJ
Charlotte J

1 reviews | Active since Oct 2015

18 Sept 2024, 13:16

Discovery Health - More pathetic service

Discovery / Dr Noluthando Nematswerani

I am getting more more concerned about the staff you employ and how competent they are.

First I had a complaint that is now taking 3 months going to resolve. I have to resend documents and explain the same things that I did on several occasions.

Today I submitted an application for a chronic condition that was declined within a few hours after it was submitted. The reason for the decline, and I quote, “Condition not covered on this health plan.”

Now, I find it strange that the ICD10 code, F32.2, is specifically covered as a PMB as per the CMS. Again, did your staff only read the first part or did they actually pay attention to the ICD10 codes? To me, it seems that Discovery does not want to pay for medication.

So at this point, since all I get from Discovery is consistent poor service, and endless phone calls from my side to try and resolve all the issues, maybe I should take this to social media. Will you then pay attention to your members? This is pathetic.

0
Replies (3)
Discovery Health
Discovery Health's reply19 Sept 2024, 06:32
Official
Dear Charlotte J

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
CJ
Charlotte J's update23 Sept 2024, 11:14
Reviewer Update
Still waiting for feedback
Today is 23 September...

Pathetic
Discovery Health
Discovery Health's reply23 Sept 2024, 14:28
Official
Dear Charlotte J

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

Regards 
Discovery Health Servicing Team