HM
Harold M

1 reviews | Active since Jan 2022

27 Jan 2022, 12:57

Does Discovery understand PMB?

Well where do we start. October last year I app**** yet again for both my wife's and my PMB conditions to be covered by Discovery, I took the forms to the Dr I sent them through to the correct email address and sent a follow up nearly a month later, not a single word from them. I pay my premiums monthly let me miss that by 1 min and my membership is suspended, I am paying for my medication out of my own pocket currently while we wait for them to reach a decision. At the same time My Dr, who is registered as a premium provider, adjusted my Diabetic medication, Discovery chose to decline the medication, I called and was told they need extra information, they never told myself or my Dr what they needed, I had to phone them first. I am still awaiting the approval on this even though we have sent them what they need. Then December arrived and we as a family were visited by our friendly pandemic, yep we all got COVID got hold of my Dr he arranged the PCR testing and the local pharmacy sent us a care package of medication needed to get through this ordeal. Discovery refused to pay, oh wait they said we must pay from our savings account that they depleted not paying for my Diabetes medication and other PMB medications. The very fact that COVID is a stipulated PMB is lost on them why you ask, apparently Discovery has a basket of approved medications, this is of course top secret and no one is aware of what is in the basket, I called them once I had recovered and was told that they will phone my pharmacy and resolve the matter, to date no phone call has been made, the senior consultant even gave me a reference number and said she will get back to me, nothing. Today I call and get the same story again, I have asked for an escalation to be done, said manager has still not called me. Maybe putting my ordeal out there for all to see will prompt them to actually meet their obligations to their clients, How many people have suffered because of this type of incompetence?

0
Replies (4)
Discovery Health
Discovery Health's reply27 Jan 2022, 13:04
Official
Dear Harold M

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 reply31 Jan 2022, 16:40
Official
Dear Harold M

We contacted you to discuss your query.

Regards
Discovery Health Servicing Team
HM
Harold M's update01 Feb 2022, 15:53
Reviewer Update
Hi thank you for eventually making contact to discuss one third of my query and promising to contact me with more information. I hope this is soon. I finally received a very inept email today I am hoping this is not an indication of how this matter is to be resolved going forward
Discovery Health
Discovery Health's reply03 Feb 2022, 09:32
Official
Dear Harold M

We have been in contact with you.

Regards
Discovery Health Servicing Team