DISCOVERY UPDATES PREMIUMS BY 12% BUT NOT BENEFITS.

DISCOVERY UPDATES PREMIUMS BY 12% BUT NOT BENEFITS. Ref no : ***

ITS RIDICULOUS THAT YOU DONT FULLY COVER THE CHEAPEST GENERIC ON AN APPROVED PMB AND YOUR LIMITS ARE NOT UPDATED ACCORDINGLY !!

00:08:44 Arik : The member has accepted the chat. 00:09:24 Onele : Congratulations on your birthday Arik! How can I help you this morning? 00:09:39 Arik : good morning' for the last 10 years i have been taking warfarin as a chronic medication and saturday was the first time that i had to pay a copayment as discovery does not pay even the cheapest generic available. please assist. 00:11:38 Onele : According to the claim rejection, we paid up to the approved monthly limit for this medicine. You can query more of this with our Chronics department. 00:12:13 Onele : Let me find an available agent for you. 00:12:18 Arik : put my query trough to them now 00:15:36 Arik : good morning' for the last 10 years i have been taking warfarin as a chronic medication and saturday was the first time that i had to pay a copayment as discovery does not pay even the cheapest generic available. please assist. 00:17:39 Onele : The medication was approved under the Prescribed Minimum Benefit. Please give me a moment to check if there was a limit put in place. 00:19:05 Arik : how come you update the premiums 12% but not the limit approved ? 00:22:01 Onele : The medication was paid up to the monthly The****utic Reference Price for this medicine class. I am now checking how previous claims were paid. 00:22:58 Arik : Then your reference price was not updated. 00:23:55 Onele : I need to query this with our Prescribed Minimum Benefit department. Then I can get back to you with the feedback. Please allow a turnaround time of 2 - 3 working days. 00:24:40 Arik : then i will need a reference number for the query 00:25:00 Onele : I am logging it for you, then I will get you the reference number. 00:25:33 Arik : ok,i will wait 00:26:24 Onele : Thank you. 00:29:19 Onele : Thank you for your patience. Your reference number is ***. 00:29:41 Arik : thanks 00:30:07 Onele : You are welcome. Is there anything else you needed my help with Arik? 00:30:26 Arik : no thanks 00:30:45 Onele : Enjoy the rest of your birthday. Goodbye. Regards