LC
Lanie C

1 reviews | Active since Nov 2021

03 Apr 2024, 08:45

I have to pay back a co-payment refund??

On 24 July 2023 I had a hysterectomy, which has a R10 000 co=payment unless it is for a PMB condition.

1. I had to pay an upfront co-payment to the hospital of R10 000. Which I did. POP was provided to you. 2. After the operation, the doctor provided the documents proving that the hysterectomy was for a PMB. It was provided to you. 3. Because the co-payment was NOT waived BEFORE the operation as the PMB could only be confirmed AFTER the operation, Discovery refunded me the R10 000 (after I had to beg and email numerous times) 4. Now, 10 months later – my medical aid is SUSPENDED, because you say that I owe Discovery R10 000.00 5. When I called, I was told to get the money back from the hospital and refund you. 6. I will NOT do so, you need to sort this out with the hospital. The R10 000 was not waived prior to the operation.

I have paid what I had to. You refunded me like you had to. Please get your own money back from the hospital. And REINSTATE my medical aid!!!

I have called you, escalated via email and NO feedback. When I escalated it, I got an email reply stating that it will take 30 days to investigate. I cannot be without medical aid for 30 days because of your mistake!

0
Replies (4)
Discovery Health
Discovery Health's reply03 Apr 2024, 10:07
Official
Dear Lanie C

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 reply04 Apr 2024, 09:34
Official
Dear Lanie C

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

Regards Discovery Health Servicing Team
LC
Lanie C's update10 Apr 2024, 12:21
Reviewer Update
My complaint has not yet been resolved, in fact it is now even worse than it was, as you have now taken money from my claims that had to be refunded to ME and deducted from a balance YOU are still not removing as it s outstanding as it I HAD PAID IT.
Discovery Health
Discovery Health's reply23 Oct 2024, 19:37
Official
Dear Lanie C

We have been in contact with you.   

Regards Discovery Health Servicing Team