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bernadette.kluyts bernadette.kluyts

1 reviews | Active since Jun 2016

07 Jun 2016, 07:05

DISCOVERY HEALTH NON SERVICE

<p>In April my husband had an op and several of the accounts were not covered 100%. Discovery Health sent my husband and the service provider notification on 18 May that the amount due by the scheme would be paid out to him and he would have to make up the shortfall. Two days later the service provider notified him that he had to pay the funds across to them. I contacted Discovery and they advised that the funds would be paid into his new account. 1 week passed and still no payment from Discovery and Doctors are looking for payment. Eventually Grant from Discovery called me and explained that there was a claw back on our policy that dated back to 2014 when my husband's company went into liquidation. Their contributions were deducted and never paid across to Discovery and at no point did Discovery contact the members and advise them that their membership would be terminated due to non-payment. One of his colleagues found out the bad news when his daughter was admitted to hospital. My husband contacted Discovery and he had to pay in the 2 months contributions to activate the policy. There was a waiting period before we could use the medical aid. At no point in 2014 did Discovery mention that we would have to pay an additional amount for payments that went through the MSA during this period. They now using this as an excuse not to pay out the amount promised that is due to the Doctor. In the meantime the Doctor will continue harassing my husband for payment as per the notification sent to them from Discovery. Grant advised that he would put the explanation in writing and would speak to his Manager. That was a week ago. Surprise, No email!!!! I called Discovery yesterday again and have still had no word from them. My next stop this morning is the Ombudsman.</p>

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Replies (2)
Discovery Health
Discovery Health's reply07 Jun 2016, 08:14
Official

Dear Bernadettek

We apologise for the frustration this has caused. We will contact you to resolve the matter as soon as we can.

Regards
Discovery Health Servicing

Discovery Health
Discovery Health's reply09 Jun 2016, 13:30
Official

Dear Bernadettek

Thank you for affording me the opportunity to investigate and assist with your query. I have sent you an email directly and will be in contact with you directly until resolution.

Regards
Sirgree