HB
Heidi B

1 reviews | Active since Mar 2009

05 Jul 2024, 08:58

Discovery incompetence & lack of consideration

I am on a Core Hospital plan with discovery. They have to pay for the 27 prescribed minimum benefits as specified by law and one of my conditions they do not want to pay for the medication without a Specialist Physician visit. I have spend more than 1.5 hours on the phone with them in the last 2 days to find a Dr that is on their Network. They have given me 11 Dr's names and phone numbers. Out of the 11 not one is correct, they are either in a different specialization, they area not close to the area I specified or the number no longer belongs to that Dr. Think twice before you use discovery. About 2 months ago I had to seen an Ophthalmologist that they said is on their Network. I did not check and at the end ended up paying R1800 out of my own pocket. They are ***** and have no consideration for you, they just want to get you off the phone. Please note in each instance I am now speaking to a relationship manager, but still their Dr's data is outdated. After a 2 month investigation into why I was sent to the wrong eye dr they still blaming me and not paying. The checked the recording and found I was indeed sent to the wrong Dr. If you use a network Dr all costs will be paid for the approved condition. I am tired, it is never ending. today is day 3 of finding a dr. Crrently they are only paying R50 towards a slow release diabetic medication cause they want me to take the cheaper alternative. I causes severe upset stomach and they do not want to accept this. I once again have to jump though hoops to get it approved. Trust me I don't want to be on the medication, but have no choice. I upset stomach is to such a degree that I cannot even go out the house. Don't use them. Maybe it is time for me to move to.

0
Replies (4)
Discovery Health
Discovery Health's reply05 Jul 2024, 10:21
Official
Dear Heidi D

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 Jul 2024, 15:18
Official
Dear Heidi D

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

Regards
Discovery Health Servicing Team

HB
Heidi B's update25 Jul 2024, 13:27
Reviewer Update
Yes, you contact me but that was it. The issue is still pending and nothing has been finalised. So this occurred at the end of May 2024. Discovery has admitted it is their mistake they indeed sent me to the wrong Dr but yet nothing further is happening. My expectation is that it will never be resolved. You just ignoring it waiting for it to expire. Blame the patient, dont take any responsibility.
Discovery Health
Discovery Health's reply23 Oct 2024, 11:30
Official
Dear Heidi D

We have been in contact with you.

Regards
Discovery Health Servicing Team