MM
Masnoena M

1 reviews | Active since May 2013

05 Sept 2023, 08:43

Discovery Health Wellth Fund is a **** and they *****ing their clients money

I'm not someone who would run straight to HelloPeter to complain. It has however been almost 2 months since I logged my issue with Discovery Health and have had no resolution from them. The first contact I had with them was on the 10 July 2023 after I went to see a GP only to be told that my Wellth Fund balance is ZERO. This was impossible...so I called Discovery and was told almost R5000 was paid for my daughters in hospital procedure and that there is no issue. Back story, my kids had an in hospital procedure done on the 7th July 2023, I had paid the copayment to the hospital and the balance had to be paid from the hospital plan. This is the how it's supposed to work for all kids under the age of 13. Only from the age of 13 the cover stops and member is then liable for it. It's not the first time they had this procedure done, so I am well aware of how the payments supposed to work. After various feedback first telling me that there is no issue, Discovery eventually admitted they have a system issue. After a month I followed up again...and was again given the run around. The last interaction I had with them last week I was put on hold for 30 minutes...after being told they were going to follow up as to why the issue is still not corrected. I couldn't hold any longer and was forced to hang up because I had to attend a meeting. The last feedback I have from them on email was that they sorry about the situation, it's a system issue and they not sure when it will be resolved. It's 2 months later now and still no resolution. During this time I went to the GP and paid cash which I am demanding they reimburse and deduct from my Wellth Fund monies they stole! I have all the various replies I got from them over the past 2 months on email (with contradicting reasons as to why this issue occurred) and most of my reference numbers as well. If I could rate them a ZERO I would and I will be logging the complaint with the Council for Medical Schemes if I don't get a resolution within the next 24hrs.

0
Replies (3)
Discovery Health
Discovery Health's reply05 Sept 2023, 10:23
Official
Dear Masnoena

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 reply05 Sept 2023, 15:48
Official
Dear Masnoena 

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

Regards
Discovery Health Servicing Team

MM
Masnoena M's update14 Sept 2023, 10:04
Reviewer Update
As per Discovery's reply they called me on the 5th September to apologise and advise that the issue was addressed the previous day (apparently prior to my complaint) and would be resolved within 3 days max. They were going to reverse the payments and force it through the system again to make sure it gets paid from the Hospital plan. I was also promised a call back to follow up within those 3 days to make sure it was resolved. It's now about 10 days later and still the issue is not resolved. I'll be reporting Discovery to the Council for Medical Schemes later today.