AG
Ashkelon G

1 reviews | Active since Aug 2019

08 Aug 2019, 20:44

Every trick not pay me!!!!

I recently called discover and spoke to a lovely lady called Themelihle. I explained to her that my son was ill and I had to rush him to hospital. I am on the coastal core option and I explained to her that I get two free visits to the GP. She advised that this is correct and that if I get the receipt, discovery will pay. So I went out and got the receipt, and it so happened that my son got ill again so we had to take him to hospital again. I explained to the hospital that I have one more free visit remaining. They asked me to contact discovery to sort it out with them. Themelihle (an awesome woman) advises me that after getting the receipt I should submit a claim through the app and it will reject. She then advised that I should call the call centre and ask her to call me back. She also resisted us for the my baby which we registered for in the past. She told us that discovery will back date the claim for us. I called them back today, and I was told that I could not get my two claims because I did not register for the maternity benefits on time. Datandran Pillay The consultant told me that I do not qualify for the benefit as it only applys after 6 weeks. I then read the costal core handbook to him and then he said he would need to talk to his team leader. When he was done he told me that because I did not activate my maternity benefits on time I do not qualify for the claim. As you can see, anything not to pay the client. I paid my premiums for the last few years and now when I have a claim, discovery looks for every way not to pay? Why? This consultant Datandran Pillay was not knowledgeable at all. He made me hold for about 10 times during the call. I told him when I called what Themelihle told me, but he insisted that he could help me. Then I said that Themelihle said one thing to me and you are saying another. After consulting with him team leader, he said I would not be paid. He said discovery needs to do an investigation? So I said, just get Themelihle to call me. She sounded knowledgeable. Then I asked him how long he had been working in Discovery and he said one month? So, I wasted my time with a novice who thought he knew too much. This is absolutely disappointing and something needs to be done. I cannot be penalized because I did not register for a benefit? I pay for these benefits!! My broker told me nothing about this? However, the shocking thing is that I registers and now they making this my fault?

0
Replies (1)
Discovery Health
Discovery Health's reply12 Aug 2019, 07:44
Official
 Dear Ashkelon Govender 

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