TN
Thembinkosi N

1 reviews | Active since Jun 2022

30 May 2024, 11:51

Melomed and Discovery

I was admitted to Melomed Tokai provate hospital on Monday 27.05.2024 for severe vommiting. Dr Arriff booked me for a G Scope but the hospital could not do the procedure because there was a copayment that I needed to make. I got discharged after 4 days with all the symptoms that I went in with because the scope was not done because I did not have the copayment on hand. When I got home I immediately called Discovery Health and the consultant confirmed that the autoriation was given for the procedure and the copayment was supposed to be deducted from my Day to Day Medical Savings Account because I still have enough funds. I called Melomed back and spoke to my case manager to advise of this information, they did not even want to hear what I was explaining that my medical aid said that they must submit the copayment on my Day to Day MEdical Savings Account it will be paid in full. I'm now at home still sick as a dog, unable to eat as I cannnot stomach anything it comes back out. Between Discovery Health and Melomed Tokai. The hospital wants the co payment in cash, the Medical aid is willing to pay for the copayment but the hospital won't submit that claim.

0
Replies (4)
Discovery Health
Discovery Health's reply31 May 2024, 06:57
Official
Dear Thembinkosi N

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 reply31 May 2024, 11:33
Official
Dear Thembinkosi N 

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

Regards
Discovery Health Servicing Team

TN
Thembinkosi N's update03 Jun 2024, 08:19
Reviewer Update
Thank you for getting back to me. On the phone you advised that a case manager from Melomed will contact me to book another scope. I am yet stil to recieve that call, when I call the hospital back, they say they are pme through to the case manager. I wanted to give them another chance and do the scope with them on Thursday 06.06.2024.
Discovery Health
Discovery Health's reply07 Jun 2024, 12:57
Official
Dear Thembinkosi N

Thank you for taking time to give us your feedback. 
   Regards Discovery Health Servicing Team