Faulty Accounting *****s Member Health Benefits

2020/02/20 - Noticed that our Self Payment Gap was R 9k, why? - I had contacted a Discovery to ask why. - The person gave me a long explanation. Afterwards, I realised that he had absolutely no idea what he was talking about.

2020/03/18 - I contacted Discovery again to try to get an answer as to why our Self Payment Gap was R 9k - Spoke to “Nolu” – Noluthando Gwebeda - She found that it was due to a claim submitted by Dr Goldstein in 2018/08/06 & then retracted claim 2018/09/06. - Ref: 868 703 240 .

History - In August 2018 my wife was admitted to Midvaal Hospital. Dr Goldstein was the Internist on my Wife’s case. - She diagnosed my wife as needing a CPAP machine to assist her with breathing, especially at night. - Dr Goldstein gave us 2 options, a lower specification and a higher specification CPAP machine. On both these options, we had to pay in between about R2’000-00. - Dr Goldstein submitted a claim to Discovery for the CPAP machine o Original Claim was R 10’491-70 + R 431-20 = R 10’789-90, which was paid out - I was concerned about this and contacted Discovery to ask them if I could look elsewhere to save money on my medical aid. - The consultant at Discovery gave my Ecomed as an alternative supplier. - Ecomed gave me pricing that was half the price on both options. We wouldn’t have to pay anything in. - I then purchased the machine from Ecomed & submitted all the invoices and proof of delivery notes. - I also told Dr Goldstein and she retracted her claim. - At the time it took Discovery a month to pay out the money after some clerical errors as per my previous Hello Peter complaint. - Discovery was asked & gave permission regarding the alternative purchase to save money by buying from Ecomed and was informed every step of the way - The invoice from Ecomed is on the system, but not captured? How is this possible? So a reconciliation incorrectly done in Jan 2020 which shows a huge amount outstanding & owed by me

2020/03/24 - Requested Nolu to give an updated – No return call - Still not solved or effort put in.

This puts my family in danger, especially in a time as this. This is not the way to save money by *****ing members money!!!!!