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LM
Larry M

1 reviews | Active since May 2016

22 Jul 2019, 12:04

Does not give reasons (to klient and specialist) why a procedure is not authorised

It disgusts me that I have to pay R5000 per month and when we really need the medical aid we have to wait because they cannot tell the patient why the specialist cannot get the auth to do the procedure. we've been waiting almost two months. Clearly they cannot tell the specialist either because they do not know why they cannot get the auth. So they phone almost daily but they still don't know why they cannot get authorization. Time to leave and get other medical aid, I am sure there are companies who are more competent than Discovery.

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Replies (4)
Discovery Health
Discovery Health's reply22 Jul 2019, 12:40
Official
 
Dear Larry Morkel 

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 
LM
Larry M's update23 Jul 2019, 09:15
Reviewer Update
What are you investigating? your incompetence to inform the specialist why the process cannot go ahead?
LM
Larry M's update24 Jul 2019, 06:54
Reviewer Update
And then the specialist herself calls my wife, apologizing for the long delay, explains that she is registered with all the other medical aids except DH...the reason for this is that DH "lost" her documents and she had to re-apply. The must be something seriously wrong or someone seriously *********** in you accreditation department. DH claim to be the best medical aid, charge the best rates but gives sub-par service. Disgusting! and you still did not have the decency to contact me as per your statement above. the quality we pay for is exceptionally $@%&!
Discovery Health
Discovery Health's reply31 Jul 2019, 12:13
Official
 
Dear Larry M 

We have been in touch with you to answer your comments. 

Regards
 Discovery Health Servicing Team