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Nicks A

1 reviews | Active since Sept 2018

19 Oct 2023, 14:46

Horrific service!

I've been with Discovery for years, and never in my life had such a pathetic experience before. My medical savings funds are depleted, I called in a few months ago and they mentioned that if I go to a GP that is covered by the Discovery network, my 3 day extended benefit would pay for the consultation. I went thinking it's covered, but got the bill and had to pay. Never mentioned anything about a Dischem consult first and then referral to a GP. No one mentioned this on that call. I let it go at the time and paid my bill and my meds. Today, I made sure I follow the process, get to Dischem, get a consultation with a virtual Doc who then prescribes meds and I mentioned that am here purely for a referral so the extended benefit can go through when I am at my own GP. I was in this consult for an hour and 10 minutes, then the nurse submitted it, and it rejected with "no virtual notes " from the consult. Which didny makr any sense to me or the nurse as she has done this mulptle times. The nurse again and then had to call Discovery. They tried to fix something on the system and couldn't, then said that they had to reprocess this and this will take 3 working days. I was baffled I already had my other GP consult appointment waiting after this one. I had to cancel. There is a reason why I needed to use my extended benefit, and the first time I use it I am stuck having to pay for everything cash. I drove home just to calm down and went back to Dischem to get the meds and pay for this myself. (DID NOT HAVE THE MONEY FOR THIS IN THE FIRST PLACE!) I was advised at Dischem that they don't have the injection on my script and had to drive 10 mins to Douglasdale Dischem from Ferngate Dischem, just to get here and get another expensive drug that has no instruction on how it was supposed to be administered. The Pharmascist asked me if I am injecting myself? ***!!! This is the worse ****ing experience I had this year by far and on top of that feeling ill and having to drive up and down like this! My God!!! I continued to calming explain to this Pharmacist at Dischem Douglasdale that this is the first time I am doing this so have no clue why she is asking me this question. She seemed perplexed and called Ferngate Dischem to ask what the doctors script said in terms of the dosage to be administered. I wasn't happy with the wishy-washy way this was done so I told this lady to just leave everything. I was defeated by all that had transpired just for me to get Discovery to pay my consultation with my 3 free extended benefits I had left. I needed to go see a doctor I am comfortable with , that the entire reason I jumped through these damn ****ing hoops Discovery has emposed just for this ****ing service. I am utterly ****ing horrified at the service and the torture I had to endure while feeling sick,. This just to get you to pay my own doctor whom I've seen for almost 15 years!!! 3 and half hours spent trying to get Discovery to pay my own doctor! *** am I still doing eith this ****ing medical aid!!!! You are absolutely pathetic. I had to drive all the way back for my last drug that was not provided at all as it seem like an impossible task for any of these companies to assist. Unbelievable! Nothing ****ing works!!! I paid for my own meds, as was told that I had to wait three working days, so only by Tuesday would I have been able to get meds and go see my doctor!!! And finally be better by next Friday. Wow! Beyond pathetic!

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Replies (7)
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Nicks A's update19 Oct 2023, 17:37
Reviewer Update
Oh and I ended up paying the fee for seeing the nurse!
Discovery Health
Discovery Health's reply20 Oct 2023, 06:58
Official
Dear Nicks A

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
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Nicks A's update23 Oct 2023, 11:37
Reviewer Update
Hi,
Discovery phoned me and concluded that the issue was with the code the Dischem nurse submitted and that's why I ended up paying the fee for the nurse. (R102) and assured me that they would phone Fergate Dischem Clinic to have them resubmit the correct code so they can pay that Nurse Levi fee and I can get a refund. I am still waiting.

The lady I spoke to also confirmed that there was nothing wrong with them paying the consultstion fee as the virtual docter I had seen to get a referral to see my actual family GP was paid. She assured me that if I do go and see my GP today, which I have at 9.30 am that the extended benefit would cover this as well as my GP was under the extended day to day benefit network, and I had two more benefits left I could use. I felt very encouraged.

It is Monday, I am still not better and had my GP appointment now at 9.30 am. I consulted with her, and I have to go for more tests too as the condition I have seems serious. I complete the consult, and the admin ladies phoned discover again to confirm the code to use and it rejected AGAIN!!!!

LOL. WOW! I AM DEFEATED AT THIS POINT.

I had to go and withdraw cash to pay the consultation fee of R550. I got a long list of meds too worth R849 and have to do a lunch function test tomorrow and God knows how much that's going to cost!

So here I am. Using this ****ing day to day for the first time and this is my experience with this ****ing company! I am completely ****ing horrified at the service I received this far honestly. I had to spend R102 on a nurse fee at Dischem, because of some code clutch that Discover says is the nurses fault and they have yet to rectify and here I am again, paying R550 on a fee that you were suppose yo cover again!!! I am so ****ing done with this company! I cannot believe you have put me through when you reassured me that this would not happen again! Before I even went to the consultation I check that my docter was covered for this benefit, the lady who phoned me confirmed I should have no issues today but here I ****ing am again!!! You are absolutely ****ING *******!!!

YOU BETTER CALL ME URGENTLY TO SORT OUT THIS BULL**** TO REFUND ME FOR YOUR ****ING PATHETIC MISTAKES!!! OR I AM ADDRESSING THIS WITH THE OMBUDSMAN!!!!

I CNAT BELIEVE THIS SERVICE I REALLY ****ING CANT!!!

Discovery Health
Discovery Health's reply24 Oct 2023, 08:11
Official
Dear Nichol A

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

Regards
Discovery Health Servicing Team

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Nicks A's update24 Oct 2023, 09:37
Reviewer Update
IT HAS NOT BEEN RESOLVED!!! NONE OF IT! ONE THING TO CONTACT ONE THING TO RESOLVE AND IF YOU READ THE ABOVE AGAIN YOU WILL NOTE THAT I MENTIONED THAT YOU CONTACTED ME!!! WHEN WILL THIS BE REOSLVED! THERE ARE FURTHER ISSUES I EXPERIENCED YESTERDAY in regards to THE DIEST ISSUE AND YOU HAVE NOT CONTACTED ME SINce! Do you feel the fact that contacted me to discuss the issue is the same as resolving it???!!!
Discovery Health
Discovery Health's reply27 Oct 2023, 15:45
Official
Dear Nichol A

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

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply27 Oct 2023, 15:46
Official
Dear Nichol A

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

Regards
Discovery Health Servicing Team