CP
Chantal P

1 reviews | Active since Jul 2016

01 Sept 2021, 11:32

Mismanagement of Funds!

I have a huge concern with the blatant disregard that Discovery has of late with paying out claims without validation. In June I contracted COVID. Discovery paid a GP R 2000 for COVID care when the only contact that I had with this practice was to speak to the practise manager for a total of 9 minutes over a period of 2 days. This equates to R 222.22/minute! This very same practise then spoke to my son in the parking lot for all of 6 minutes. The charge R 493.60. Cost / minute R 82.26. Paid by Discovery. My other son was then admitted to hospital , only his specialist had any contact with him. Discovery paid a claim for a another Dr who had no contact at any point with my son R 635.10. At best, all the Dr would have done was poke his head into the room. Cost per minute R 127/minute. All of the above is done without question by Discovery. I am still having to fight them to reverse the above charges daily. What of members that do not check their claims statements. How much more money has Discovery wasted on non-claims. When Discovery raise our premiums by 200% this is why! The irony: not one of my COVID meds were covered by their special fund, I had to FIGHT to get back the R 850 for a positive COVID test and when requiring a scope etc. the member is to pay R 6000 up front before Discovery will approve it. #getyourprioritiesright Discovery #shockedbeyondwords

0
Replies (3)
Discovery Health
Discovery Health's reply01 Sept 2021, 11:52
Official
Dear Chantal P
 
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 
CP
Chantal P's update01 Sept 2021, 12:03
Reviewer Update
This is an automated response and a waste of time! This has been ongoing since June/July of this year! It is now September! At least do your Members the courtesy of removing this which only serves to infuriate them and give the false perception that you are attending to their complaint!
Discovery Health
Discovery Health's reply02 Sept 2021, 13:18
Official
Dear Chantal P
 
We have been in touch with you to answer your comments.  
 
Regards 
Discovery Health Servicing Team