DISCOVERY IS A HEADACHE AND ***********

Discovery Medical Aid is useless!!!!!!!!!! . I registered for the Maternity Benefit Programme when I was pregnant. Had issues with regards to the claims being processed in duplicate from my Maternity Programme. The initial call I made to the call centre was only the beginning of my nightmare experience with discovery. I had to explain something very simple and logical over and over again, and Mind you, I do not work for discovery, i do not get a salary from Discovery, so why should i be sitting on the phone, or typing out numerous emails about a process and product they should know about. In a nutshell, Discovery claimed the Dr was submitting the claim with incorrect codes, but the Dr claimed that they submit those codes all the time and never had an issue. I had to make it my problem by being put in the middle of this issue. Discovery couldnt have cared less to try to resolve the matter with the doctor for me. AS IF THE SERVICE YOU PROVIDE TO ME AND MY FAMILY IS FOR FREE!!!!! I PAY MEDICAL AID. THAT WAS YOUR JOB TO DO!!!! My baby arrived , and i registered for the My Baby Programme. My baby is entitled to 2 visits to the Pediatrician which will be claimed from the baby programme and not my savings,. Baby went for a consultation and the claim was taken off my savings ( this was initially correct because baby was not registered on my medical aid at the time due to the fact that we were waiting for her birth certificate in order to add her to my medical aid). Today, i registered baby on the My Baby Programme , I called discovery to advise that the claim was taken from my savings account , if it would be possible to reverse this and claim from the my baby programme. AND AGAIN, DISCOVERY SAYS THE INORRECT CODE WAS USED BY THE PEDIATRICIAN AND I SHOULD GET AN AMENDED ACCOUNT !!!!

1. WHY OFFER THIS PROGRAMME IF THERE IS ALWAYS AN ISSUE WHEN CLAIMS ARE BEING SUBMITTED, SURELY YOU SHOULD COMMUNICATE BETTER WITH THE DOCTORS ABOUT THE CLAIMS PROCESS AND WHAT CODES SHOULD BE USED, IN ORDER TO GIVE YOUR CLIENTS A PAIN FREE EXPERIENCE !!!!

2.) WHY IS IT MY JOB TO GO BACK TO THE DR'S TO REQUEST AN AMENDED STATEMENT AND THEN HAVE TO EXPLAIN TO THEM THAT THEY SUBMITTED THE INCORRECT CODES!!!!!! I DO NOT GET PAID TO DO YOUR PEOPLES JOB!!! IT IS NOT MY PROBLEM OR MY CONCERN HOW THE CLAIMS ARE BEING PROCESSED, THAT IS BETWEEN DISCOVERY AND THE DR'S!!!!!

I am dropping discovery next year and joining a different medical aid. This is utterly pathetic !