pG
pieter G

1 reviews | Active since Apr 2012

03 Jan 2024, 06:13

Discovery will cause me heart attack or stroke. Pathetic claims procedure and chronic division a chronic pain. The principal officer still absent

With reference to my review and Hellopeter's notification that Discovery has respond. The response from Discovery is not related to my review or complaint. Thus still awaiting response from Discovery Chronic department.

0
Replies (6)
Discovery Health
Discovery Health's reply03 Jan 2024, 06:46
Official
Dear pieter

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
pG
pieter G's update03 Jan 2024, 18:45
Reviewer Update
Follow up Medication

Clopidogrel 75 biotech This benefit has been approved as it is Clinically appropriate for the request.

18 December 2022 to 31 Dec 1999*

Refer to letter dated 8 Sept 2023.

Please note: This authorization has been approved as ongoing. All items marked with an * will be

replenished on a yearly basis and Mev Maria will not need to reapply for these benefits.

My complaint is why it is now suddenly not approved past end December 2023. I submitted a dispute form and requested direct e-mail with reason why previously approved medication has been cancelled in order to take it up with the Counsil for medical aids again.
It took a year to get approved after mediation by the Counsil of medical aids, thus have to pay out of pocket again. How long will it take this time?

Discovery Health
Discovery Health's reply04 Jan 2024, 07:28
Official
Dear pieter

Please check your emails for final feedback from us.

Regards 
Discovery Health Servicing Team
pG
pieter G's update04 Jan 2024, 16:26
Reviewer Update
The e-mail received is in connection with another claim.
The issue in hand has to do with previously approved chronic medication and unjustified reversal by Discovery, as clearly stated on yesterdays entry on Peter.com site
pG
pieter G's update21 Jan 2024, 15:37
Reviewer Update
To date no reply from Discovery health
Discovery Health
Discovery Health's reply26 Mar 2024, 15:38
Official
Dear pieter

We've contacted you regarding your complaint.

Regards 
Discovery Health Servicing Team