RS
Riaan S

1 reviews | Active since Oct 2016

14 Oct 2016, 09:34

DISCOVERY Medical Scheme: ABSOLUTE BAD CLIENT SERVICE OR is Discovery just ripping clients off?

<p>DISCOVERY Medical Scheme: ABSOLUTE BAD CLIENT SERVICE OR is Discovery just ripping clients off?</p> <p> </p> <p>1) I went to Dr, who mailed her authorisation and referral request to Discovery on 14/7/2016.</p> <p>On 18 July the referring Dr or myself was not informed, and we both and the specialist made enquiries as to the outstanding authorisation. No feedback, and we had to wait.</p> <p> </p> <p>2) The referring medical practitioner AGAIN mailed Discovery on 18/7/2016 and received a reference number per automated mail.</p> <p>We waited for any sort of feedback but received none.</p> <p> </p> <p>3) BUT THE CLIENT HAS TO PAY THOUSANDS upfront per month.</p> <p> </p> <p>4) Because the referring Dr and me as client, AGAIN did not get any response or feedback, I had to make enquiries again with DISCOVERY on by calling JUST to get some feedback or response.</p> <p> </p> <p>5) I called again on 20/7/2016 and was told they have not received any authorisation request.</p> <p>The agent AGAIN requested me to submit the same referral and authorisation request that was done on 14/7/2016 and was promised that I will receive a reference number and will receive feedback.</p> <p>Therefore, I mailed again as requested on 20/07/2016 @02:22 PM.</p> <p>I received a reference number per automated mail.</p> <p> </p> <p>6) NEEDLESS to say, I did not get any feedback, call or sms. Not even the referring Dr got any enquiries or feedback.</p> <p> </p> <p>7) On 22/8/2016, I thought it wise to attempt again to get some sort of response on the last authorisation request dated 20/7/2016.</p> <p>The agent was unable to assist.</p> <p>I was AGAIN requested to submit which I did the same day.</p> <p>I received a reference number per automated mail.</p> <p> </p> <p>8) Now do everybody share the frustration?</p> <p>9) Am I the only client that experience this POOR / NO service?</p> <p>10) How many more unhappy and disappointed paying clients are there that experienced the same “NO CARE AS LONG AS WE GET THEIR INSTALMENTS APPROACH” ?</p> <p>11) How many frustrated disappointed clients gave up on making enquiries, and in desperation accepted this example of BAD SERVICE from Discovery and then rather went and paid the medical practitioners themselves?</p> <p>12) Or decided to ignore the medical condition and suffer in silence because we as clients are being stone walled and in my experience and what I NOW CAN BELIEVE “**********” as they took my/our monthly instalments with no service delivered?</p> <p> </p> <p>13) The consumer believes that if the client does not pay then he cannot expect any service in return.</p> <p>14) BUT what if the paying member pays upfront like all of us and receive nothing / no response/no service …what recourse does a medical aid scheme member have then? Just accept this behaviour and continue to pay with a smile?</p> <p> </p> <p>15) How can Discovery change my view (or other clients with similar experience) not to believe that Discovery is ONLY there to make money and to save as much as they can to the detriment of their members?</p> <p> </p> <p>16) Is this non responsive attitude by Discovery a simple manner to force clients to give up and rather pay themselves for medical procedures?</p> <p> </p> <p>17) The most important concern is what if I as a paying member was unable to speak, TAKING THIS NON RESPONSIVE APPROACH in account, what would have happened to me or us?</p> <p> </p> <p>18) How can any rightminded client keep silent?</p> <p>19) Do I still make enquiries with a non-interested service provider? Will you?</p> <p> </p> <p>We are going for XMAS, and Discovery has not even made an effort to send me or the DR which is on their panel, a simple sms to say decline or approved… forget the phone call.</p> <p> </p> <p> </p> <p> </p> <p>Very disappointed.</p>

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Replies (3)
Discovery Health
Discovery Health's reply14 Oct 2016, 09:50
Official

Dear RedandBlue

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

RS
Riaan S's update25 Oct 2016, 09:51
Reviewer Update

DISCOVERY Medical Scheme: ABSOLUTE BAD CLIENT SERVICE OR is Discovery just ripping clients off?

My initial complaint dated 14/10/2016 refers.

I have only received an automated generated mail response that Discovery will respond after posting my complaint.

Well, 11 days later and still no response.

People, can you see the pattern? Can you all understand the frustration?

Again, we had to pay upfront for membership and not even a call to say ****** off...just silence.

Surely this silent conduct raises the acceptable conclusion that Discovery Health is forcing their members to seek alternative medical cover at another company, but refuses clients to utilise their medical benefits.

I had no alternative to escalate this concern to the medical schemes complaints Ombudsman, and hopefully will get some sort of relief / answer / response.

Do you understand the frustration?

Will you stay with such a company?

UTTERLY DISGUSTED

UTTERLY FRUSTRATED MEMBER

Discovery Health
Discovery Health's reply25 Oct 2016, 11:37
Official

Dear RedandBlue

Thank you for bringing this issue to our attention. As discussed, we have now resolved the matter.

Regards
Discovery Health Servicing Team