TM
Tshepo M

1 reviews | Active since Oct 2021

15 Oct 2024, 11:28

Misleading information incurred medical bills and paying too little for claims

Good day,

I am following up as I have not yet received a response regarding the following:

Your *** Your ***

I have had some mixed experiences with calling Discovery, with some consultants being helpful and others not. I have also faced long wait times when my calls are transferred to managers. I am not satisfied with the level of service I have received.

On September 17th, 2024 at 09h45, I spoke with a consultant with call *** before being admitted to the hospital. He assured me that all expenses would be covered once pre-authorization was obtained and we confirmed that the medical plan and network hospital were part of my coverage. I am now requesting that Discovery take responsibility for the R22,000 co-payment and deduct it from my in-hospital benefits, as my plan states that I have unlimited cover, which seems to be misleading. This is also due to the fact that the consultant provided me with inaccurate information, leading me to believe I had full coverage. I would have chosen to go to a public hospital if I had known the true extent of my coverage.

I have already submitted a formal complaint to Discovery in writing and have not yet received a satisfactory response.

0
Replies (3)
Discovery Health
Discovery Health's reply15 Oct 2024, 13:14
Official
Dear Tshepo M

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
TM
Tshepo M's update16 Oct 2024, 11:04
Reviewer Update
Good Day

Kindly note that i haven't received a courtesy of your reply regarding the above.

Soon as possible is passed. I was advised on Monday that the manager is challenges retrieving the call recording in question all of a sudden.

I would appreciate feedback in writing because Discovery when it's convenient for them they can't retrieve calls.

Your manager told me that I can listen to the call on the website which is misleading again. There is no option to listen to the call on the website.
Discovery Health
Discovery Health's reply16 Oct 2024, 16:38
Official
Dear Tshepo M

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

Regards 
Discovery Health Servicing Team