TP
TEBELLO P

1 reviews | Active since Oct 2010

23 Feb 2015, 17:39

*********** AND UNDERMINES CLIENTS

On the 30th January, i called the call center to find out if i needed another authorization for an additional procedure apart from the one i got before being admitted in hospital, i was told NO the one that i got will just be updated with added procedures.<br> <br> Guess what? That was not the case.<br> <br> Few weeks later i am sitting with a couple of thousands that i now have to pay as the medical aid does not cover those procedures. <br> <br> This is complete and utter nonsense!!!<br> <br> I took time lying on the hospital bed, to call Discovery to confirm that there will be no extra charges and now i have the hospital chasing me for their money which the medical aid declined to pay.<br> <br> This is **************** from Discovery and they actually think their clients are IDIOTS.<br> <br> When i call to enquire about the outstanding balance for the hospital , i am told that it is a shortfall that a member must pay. <br> <br> Can somebody please tell me why i bothered calling them and getting a confirmation that they will pay and now i have to pay for the shortfall.<br> <br> This is ridiculous and the Agents are so arrogant when i try to rectify the problem.<br> <br> Not first time i had bad dealings with Discovery and definitely not last.

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Replies (1)
Discovery Health
Discovery Health's reply25 Feb 2015, 10:50
Official
Hello kananelo17,

Thank you for allowing me the opportunity to assist you.

I can confirm that you were advised that the additional procedure will attract a co-payment, however you were incorrectly advised that this co-payment will be funded from the available funds in your Medical Savings Account (MSA). This type of co-payment are not claimable from the MSA, however based on the information provided to you, we will be paying the co-payment as advised.

I have sent you an email with the relevant document that you need to complete to allow us to fund the co-payment from your MSA and await your response to assist you further.

I would like to take this opportunity to offer you our sincerest apologies for the frustration you have experienced in this regard. I assure you that the matter was addressed with the relevant manager to avoid any re-occurrences in future.

Kind regards
Danita