FH
F. H.

1 reviews | Active since Aug 2020

28 Jan 2022, 16:38

Discovery Health Service

Generally i was happy with Discovery Med.Scheme Service until recently : I am a Keycare Plus Member;

1. My network appointed primary care Dr closed up his practice before Dec 21 without any prior notice to me.I was left without a primary Dr and I had not allocated a secondary GP.Why cant I visit any other network Dr ,I cannot-₩ they will have to be allocated by the scheme before je consulting or else i can consult using my out of network benefit? 2. I then had to use a non-network Dr which i was very happy with service.but this came off my out of network benefit under keycare plus. 3. From 17/1/22 I am trying to allocate a network Primary Dr but this is difficult as some Drs are either not available or ask me to consult in evenings because of patient load.I get the inclination that they are not interested in keycare patients for some reason(s) which they are not forthcoming out on reasons. 4. I have copied The Pincipal Officer and still not received prompt responses. 5. The lady that was dealing with allocation of an Alt. primary network Dr does not keep to promises in getting back to me timeously because she is in meetings? 6.I sent numerous emails and mostly get a no-reply emails response? 7. I would like Discovery Client services to let the Member know what is the story on allocations(replacing) Primary /Secondary Drs during the month as this can only be done on the 1st of any month.In my case I was left without a Primary Care Dr as I will not be going back to my initially allocated Primary Dr because of Ethics and Conduct /bad communication etc. 8. Some network Drs are consulting virtually so I dont know how this works with Members without platforms for this type of communications. 9. The biggest frustration is waiting for a response while people sit in meetings or some call centre staff phones you and cannot help with your query or request. 10. The other issue is Allopurinol for Uric Acid clearance Meds is not covered unless t one is referred to a Rhuematologist who can then request this meds under Chronic Meds.But Allopurinol is authorised under "Oncology" on the :Requested Formulary on the net. So in persuing authorisation for this meds I am then told yes,you can go to a Rheumatogist via referral by your GP which referral has to be authorised by the Scheme? Red Tape.My question is that there are Rules ,I understand this but, the person dealing with your query does not give you options which are available and if a member is unaware of these options then tough luck to them? Thanks F.H *** Use this cell number to check out my email on the system.

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Replies (2)
Discovery Health
Discovery Health's reply31 Jan 2022, 06:42
Official
Dear F. H

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 reply31 Jan 2022, 17:52
Official
Dear Fazlur 

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

Regards
Discovery Health Servicing Team