GM
Gwen M

1 reviews | Active since Jan 2021

31 Jan 2021, 09:27

*****

DISGUSTED WITH THE SERVICE ESP THAT MY QUERY WAS ***** REALATED. I saw a Dr on 11/06/20 my claim was paid. on the 22 June, my husband went to the pharmacy and got his girlfriend items and one of the items were not paid rejected as early refill. This is because I received the same item on the 11/06/20. When I queried with the Scheme I was told that I am no longer a member and that my husband is not giving consent that I must query on his medical aid.

This did not make any sense at all. Instead they said I must query with HPCSA. My question to the agent was that does it mean Discovery is approving any ***** that as long as the main member is not giving consent. I mentioned to the agent that my kids are still on his medical aid, so should any transaction that goes through under my kids' name **********ly , I cannot query because the main member is not giving consent? him being a main member can do ***** as and when it pleases and I cannot query? What is Discovery saying about Whistle blowers? they should do a thorough investigation. I am not going to leave this.

I honestly do not know how does Discovery scheme's forensics work. I mentioned to the agent that when I asked my husband about it he said maybe it is a mistake he'll fix it. The agent could see the items dispensed on the 22/06. I would be happy if ***** can be taken very seriously. I hope the Discovery team will attend to this.

0
Replies (3)
Discovery Health
Discovery Health's reply01 Feb 2021, 07:26
Official
Dear Gwen 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 reply03 Feb 2021, 15:39
Official
Dear Gwen M
We contacted you to discuss your concerns. Regards Discovery Health Servicing Team
GM
Gwen M's update07 Apr 2021, 18:08
Reviewer Update
Good day,

I am still waiting for the outcome. At least send an email to update me.