GL
Guy L

1 reviews | Active since Jan 2012

02 Feb 2016, 10:04

INABILITY TO PROCESS CLAIMS & REFUSAL OF PMB

We have been struggling with Discovery Health since Nov 26 2015, the problems included from not paying claims timeoulsly (it took nearly two months to get our claims paid back) to deducting amounts from our savings when the amount should have been from the PMB. <br> <br> OUR CURRENT ISSUE:<br> <br> We recently were able to get a PMB benefit for our child who has bipolar disorder, the PMB document/letter states that even thought the PMB letter has expired there is no need to renew the document as the child has a chronic condition and thus still qualifies to receive the benefit. However we are constantly getting the run around from DH telling us the letter has expired, and quite plainly refusing to read the contents of the document. They have also been refusing to pay for pathology which is also covered by the PMB<br> <br> In our experience with Discovery prior to the 26 Nov we have never had any problems, the service was outstanding, claims where paid on time, however of late I have been shocked by how terrible the service you provide has become. If it was not for the fact that I had to use your Medical Aid Scheme because my employer requires I do, I would have changed my medical aid months ago.

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Replies (1)
Discovery Health
Discovery Health's reply05 Feb 2016, 07:04
Official
Hello ChaosRaven,

Thank you for your comment

We are currently investigating your query and will be in contact with you shortly.

Regards
Meryl