SS
Steven S

1 reviews | Active since Mar 2009

12 Jun 2020, 14:49

Discovery - Healthy dose of gatvol

After many months in planning, we moved Group employee scheme in February 2020. For my profile it was a matter of mobing from one employee group scheme to my current employer Group Medical Scheme. I would now become the main member. Needles to say Discovery issued me with a brand new account number and did not transfer my account. It turned out this was done in error due to incorrect paperwork completed (even though I have it in writing that everything will remain as is). Since I received a new number I immediately contacted Discovery to advise that I want my previous number back which I have had for over 10 years, since all my debtors have this medical aid number linked to all my accounts. During this phase we had a medical procedure done and claimed from the "New Medical Aid Number". Discovery then moved me to the correct medical aid number and I had my previous MSA back. This is when the frustration started...

I got a threatening SMS/Email to advise that I owe Discovery money for claims paid on my medical aid. I immediately contacted them and tried to explain that the medical aid number I got form them was in error and to resolve the matter deduct the claim amount from my current MSA...<<<This apparently is rocket Science and no one seems to understand. My broker helped me with this part but I ended up paying out of pocket for claim done on the previous incorrect medical aid number, even though I called the provider and explained and called Discovery but no one was able to reclaim as the medical aid number no longer existed and Clicks could see no claim on their system either. Then I got another threatening email/SMS saying I owe discovery money for the clawback because I cancelled medical aid with them...I again phoned explained what happened with the "new" medical aid number and the incorrect medical aid number etc tec. After escalating with discovery 26 March, 2 May, 19 May & Again today this issue is still not resolved.

It turned out the money paid to my account was meant to be deducted off the MSA to reduce the MSA, so the money paid to my account was paid into my account by Discovery in error. No phone call from Discovery to tell me this, no email from Discovery to tell me this & no SMS to tell me this. All of this happened during the incorrect medical aid number and claims failing because of no MSA in the account and as a result, I am willing to pay for half of the amount due as this was paid to me, however Discovery needs to acknowledge their mistake and take responsibility for their error and the way which they have handled me during this process, as I have been made out as a ******** and threatened legal action and blacklisting.

Lastly, I get a call from number ***, this number does not even exist so they try to phone you from this ****f number and when you try to call them back you cant.

This should've been a transfer of group employee scheme from one scheme to another and this should've gone without incidents.

I want this issue resolved as this has been dragging since March 2020 and making me super unhealthy.

0
Replies (1)
Discovery Health
Discovery Health's reply15 Jun 2020, 08:06
Official
Dear Steven 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