PS
Petrus S

1 reviews | Active since Jun 2015

30 Oct 2024, 17:07

IF YOU PLAN TO CLAIM, DO NOT USE DISCOVERY MEDICAL AID

Shocking and pathetic service.

I fell and broke my teeth. Treatment should be covered by my plan's "Basic Dental Trauma Benefit"

First claim declined, apparently wrong ICD code. Claim resubmitted. Apparently wrong codes again. After multiple calls and e mails codes requested to use on claim. Claim rejected again, tooth numbers apparently not included. Claim resubmitted. Claim rejected again "your plan does not cover this service".

Above as just a summary. There has been probably 15e mails and 20 calls to Discovery.

Once spent half a day to get through to call centre. In the verification process you get asken to press a certain digit to get a OTP sent. After pressing the digit I was told "your resonse not received". I tried abot 15 times that day, could not get through.

Very frustratrating.

Wish I could calculate the total premiums I paid last 20+ years. Astronomical amount, now this poor service.

Close to three months aa the emails and calls, still claim rejected,

I am a medical practitioner and deal with this obstuctive behavior from Discovery regularly.

Disccovery is not to be trusted. Do their utmost not to pay claims.

Can not recommend Discovery.

0
Replies (4)
Discovery Health
Discovery Health's reply31 Oct 2024, 07:15
Official
Dear Petrus S

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 Nov 2024, 16:24
Official
Dear Petrus S

Please check your emails for feedback from us.

Regards
Discovery Health Servicing Team

PS
Petrus S's update28 Nov 2024, 09:21
Reviewer Update
DISCOVERY IS JUST TRULY PATHETIC. USELESS. FIRST COMPLAINT ONL AFTER I RESPONDED TO HELLO PETER THAT DISCOVERY DID NOT RESOLVE YET.

SAME INCIDENT, NOW TRYING TO GET PRE AUTHERIZATION FOR PROCEDURE. NO RESPONSE 9 DAYS AFTER 9 E MAIL SENT.

DECIDED CALL CENTER. AFTER 35 MIN AGENT TELLS ME HE CAN NOT UPLOAD DATA, TRY AGAIN LATER.

TODAY I GET AN EMAIL, SURVEY ENEQUIRING ABOUT ABOVE CALL.

WHEN I COMPLETE SURVEY THE SHOCKING RESPONSE I GET "SORRY, SOMETHING WENT WRONG ON OUR SIDE"

THESE ARE JUST THE HIGHLIGTS .

DISCOVERY IS USELESS, PATHETIC. AVOID AT ALL COST
Discovery Health
Discovery Health's reply28 Nov 2024, 17:06
Official
Dear Petrus

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

Regards
Discovery Health Servicing Team