MW
Marika W

1 reviews | Active since Nov 2011

18 Jan 2017, 08:54

Discovery Health: Refuse to process and pay me back for an invoice my medical scheme is supposed to cover

<p>I am struggling to get Discovery to process and pay me back for a physio treatement that I recieved in September 2016. My phsio the****** treats several Discovery customers and has informed me that my invoice is the only return she has gotten, not once but TWICE already. I am on discovery classic comprehensive so the package I am on is not the problem.</p> <p> </p> <p>I have already spoken to ovcer SIX consultants and TWO managers and no one appears to be able to resolve my issue. I submitted my invoice FOUR times before finally being informed that the first one was in an 'unacceptable' format even though the physio did not have an issue with that format with other discovery clients. I then got a NEW format and submitted that one another TWO times. My physio submitted one on my behalf as well and discovery STILL didnt bother to either process or provide me with proper feedback.</p> <p> </p> <p>Following the second format, I had to go through about THREE consultants and a manager before anyone even bothered to tell me what the problem was. Apparently discovery doesn't like it when people put quantities other than 1 next to massage oil on an invoice.</p> <p> </p> <p>I communicated this to my physio while she was on holiday and she went to a lot of trouble to reformat the invoice AGAIN removing the oil entirely. I then forwarded this reformatted invoice to the SECOND manager that was handling my request as requested. It is now over three weeks down the line (WELL over the 3 day period they claim it takes to process this invoice) and I STILL have not been reimbursed. I have wasted a LOT of TIME and MONEY on phone calls on trying to resolve this only to be treated like a piece of trash.</p> <p> </p> <p>I have now been fighting for FOUR months and am getting sick and tired of the sheer incompetence of their processes. I am starting to feel like I need to start figuring out how I can legally get Discovery to pay out all my savings so I can leave them and move to a medical aid that actually DOES deliver on their promises. </p>

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Replies (6)
Discovery Health
Discovery Health's reply18 Jan 2017, 09:34
Official

Dear kyobouryuu

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

MW
Marika W's update18 Jan 2017, 10:49
Reviewer Update

Though I really do appreciate the effort you took to copy and paste a reply here, I will believe that when I see it

Discovery Health
Discovery Health's reply20 Jan 2017, 12:34
Official

Dear kyobouryuu

As soon as we have finalised this matter, we will contact you with feedback.

Regards
Discovery Health Servicing Team

MW
Marika W's update14 Feb 2017, 10:56
Reviewer Update

Deal All

Please note that the above message is the last communication I recieved from Doscovery reagrding this issue. I was informed that they were experiencing a technical glitch and that the issue would be resolved and my claim would be processed in about three to five days, It is now OVER three weeks and no one has done ANYTHING at all regarding my claim. I'm beginning to wonder if the company has any compenant employees at all as I have already dealt with a long list of them and been treated like **** every time. Don't get me wrong... the consultants are all incredibly polite but I am getting sick of being offered useless platitudes while my issue continues to be an issue. Could someone that actually knows what they are doing please resolve my issue? Failing that could someone else maybe give me advice as to what legal steps I can take against this company?

MW
Marika W's update14 Feb 2017, 11:02
Reviewer Update

Oh look.... I can take this to the CMS

http://www.news24.com/Archives/City-Press/Legal-assistance-for-medical-aid-complainants- ********** 9

Considering I have submitted this claim over six times, complained here, spoken to several consultants and managers and representatives and my claim is STILL being ignored this is seriously becoming an option.

Discovery Health
Discovery Health's reply14 Feb 2017, 15:26
Official

Dear kyobouryuu

We have sent you feedback on an email. Please check your inbox.

Regards
Discovery Health Servicing Team