AE
Andre E
1 reviews | Active since Jul 2015
08 Jul 2015, 15:19
Disgusted Customer
I phoned your company in January 2015 and informed them that I need urgent assistance
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Replies (1)
Discovery Health's replyOfficial
10 Jul 2015, 11:56Hello engelbad,
Thank you for your comment.
Your email of 3 July 2015 to the CEO of Discovery received an immediate and detailed explanation of the Scheme rule which permits an upgrade of plan effective 1 January of each year only, with notification to the Scheme by the middle of December of the previous year. We have an obligation to apply the rules of the Scheme fairly and consistently across the entire membership base, and therefore cannot make any exceptions. Any other member in the same circumstances would receive the same response.
Were it permissible to upgrade plans only when the need arose, all members would be on the cheapest plan with the least benefits until the need arose. This prohibits a Scheme from building reserves which impacts its claims-paying ability and sustainability.
We're sorry that we could not offer you a different outcome.
Regards
Rishana
Thank you for your comment.
Your email of 3 July 2015 to the CEO of Discovery received an immediate and detailed explanation of the Scheme rule which permits an upgrade of plan effective 1 January of each year only, with notification to the Scheme by the middle of December of the previous year. We have an obligation to apply the rules of the Scheme fairly and consistently across the entire membership base, and therefore cannot make any exceptions. Any other member in the same circumstances would receive the same response.
Were it permissible to upgrade plans only when the need arose, all members would be on the cheapest plan with the least benefits until the need arose. This prohibits a Scheme from building reserves which impacts its claims-paying ability and sustainability.
We're sorry that we could not offer you a different outcome.
Regards
Rishana
Discovery Health's reply10 Jul 2015, 11:56
Official
Hello engelbad,
Thank you for your comment.
Your email of 3 July 2015 to the CEO of Discovery received an immediate and detailed explanation of the Scheme rule which permits an upgrade of plan effective 1 January of each year only, with notification to the Scheme by the middle of December of the previous year. We have an obligation to apply the rules of the Scheme fairly and consistently across the entire membership base, and therefore cannot make any exceptions. Any other member in the same circumstances would receive the same response.
Were it permissible to upgrade plans only when the need arose, all members would be on the cheapest plan with the least benefits until the need arose. This prohibits a Scheme from building reserves which impacts its claims-paying ability and sustainability.
We're sorry that we could not offer you a different outcome.
Regards
Rishana
Thank you for your comment.
Your email of 3 July 2015 to the CEO of Discovery received an immediate and detailed explanation of the Scheme rule which permits an upgrade of plan effective 1 January of each year only, with notification to the Scheme by the middle of December of the previous year. We have an obligation to apply the rules of the Scheme fairly and consistently across the entire membership base, and therefore cannot make any exceptions. Any other member in the same circumstances would receive the same response.
Were it permissible to upgrade plans only when the need arose, all members would be on the cheapest plan with the least benefits until the need arose. This prohibits a Scheme from building reserves which impacts its claims-paying ability and sustainability.
We're sorry that we could not offer you a different outcome.
Regards
Rishana