RH
Robert Harrison-White

1 reviews | Active since Jan 2012

04 Feb 2025, 14:13

Discovery Medical Aid *******

I was hospitalized from 14-18 January 2025. Under my Discovery Essential Medical Aid Plan i am covered for expenses in hospital. Apparently the Pretoria East Hospital case manager sent a doctors account to the medical aid incorrectly dated for the 13th January when i was not even in hospital . This resulted in Discovery taking this money from my Medical Savings Account and not paying the same from the Scheme. On a phone-call to Discovery to point out the mistake I was told that they would contact the hospital to rectify the matter A week later of course nothing has happened On another phone-call to Discovery today 04 Feb i am told that the previous lady did not even register the matter - and that i should contact then case manager at Pretoria East Hospital. On query as to why i as a client should do this , the lady said that she would escalate the matter and phone me back in 3 days time Attempts to contact the case manager at Pretoria East Hospital proved fruitless with phone operators not even being able to put me through to the case manager Pathetic both from Discovery side and Pretoria East Netcare Hospital side- useless phone operators paid for ??? But if a line is taken though this - ultimately Discovery Clients monies are obviously being subtracted from their medical savings for no valid reason and Discovery Medical Aid are not prepared to help - and blame Pretoria East Netcare. I wonder who Netcare will blame?? A ******* from both sides...

0
Replies (2)
Discovery Health
Discovery Health's reply05 Feb 2025, 06:30
Official
Dear Robert 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 reply10 Feb 2025, 15:13
Official
Dear Robert H

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

Regards 
Discovery Health Servicing Team