TS
Tershia S

1 reviews | Active since Dec 2020

04 Dec 2020, 14:25

Discovery Health rejecting chronic benefits without consulting the doctor.

Discovery Health - unprofessional and inefficient service . For more than a month , my Doctor and I have been shoved from pillar to post by their chronic dept. to get approval for just 2 items that fall into the chronic disease category that is paid for by law and on my plan option.

From my Doctor today: “ Hi, I re - sent to a different email address today as I still hadn't received feedback, it seems the one on the chronic form is giving them problems or is no longer used, can they not inform us?!!!! With the new address I received a referrence no. 75***x3xx7 for you to followup with, have a good weekend”

I’m posting on Hello Peter as it’s rather unsettling , this poor service , efficiency , disrespectful behavior and complete lack of professional, ethical service I have been afforded by Discovery in the last months and it’s a constant manner they act in from past experience. Their disinterested attitude towards their patients is in very poor taste.

I’m a registered qualified SA healthcare professional myself ie. I am an informed patient and Discovery Health care nothing to just simply complete a job as part of a service that I have paid them for, at a high classic comprehensive premium. We as a family , are discovery health members since 2003!!! I am also highly experienced, professionally in all the corporate managed healthcare companies and the intricacies of their operations in SA.

I shudder to think how much they are hoodwinking and ill- treating the average patient who knows nothing of the workings of a managed healthcare organization like Discovery health.

Discovery is really just a source of frustration. They complete nothing . I had a discussion with 2 case managers about the fact that doctors are busy and that there is a patient at the end of the line - they at discovery are supposed to follow up with feedback to complete a job and not just decline a patient their benefits because they at Discovery haven’t attempted to let us know anything about the application or particularly requesting missing information from the doctor.

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Replies (3)
Discovery Health
Discovery Health's reply07 Dec 2020, 08:18
Official
Tershia S
 
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 reply08 Dec 2020, 12:06
Official
Tershia S
 
We have been in touch with you to answer your comments.
  
Regards 
Discovery Health Servicing Tea
Discovery Health
Discovery Health's reply08 Dec 2020, 12:08
Official
Dear Tershia S
 
We have been in touch with you to answer your comments.
  
Regards 
Discovery Health Servicing Team