BB
Bruce B

1 reviews | Active since Nov 2016

14 Oct 2024, 14:49

Navigating Discovery Health's Frustrating Maze of Declined Coverage

"Discovery" indeed lives up to its name, as members constantly discover what they won't cover anymore. Living with a degrading spinal condition means I frequently run out of Biokinetics cover around this time each year. For the past decade, we've app**** for and received an extension of this benefit. But this year, after a six-week wait, the extension was declined—no explanation, just a flat "No."

Naturally, I called to challenge this decision. The representative didn't know why it was declined, put me on hold for 30 minutes, and then the call was dropped.

Here's a snippet from their decision letter: "We do, however, hope you can appreciate that we have reached this decision after careful consideration. We follow a rigorous process to ensure we treat all our members fairly by being consistent in the way we pay claims." Do you really expect me to appreciate this baseless decision? Careful consideration to save Discovery's millions on something as essential as this?

So now, it's on my tab, just as I'm gearing up for another premium increase in three months with even less coverage. Completely unhappy with Discovery Health. I know they don't care, but this is truly a horrible customer experience!!

0
Replies (2)
Discovery Health
Discovery Health's reply15 Oct 2024, 06:48
Official
Dear Bruce B

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 reply18 Oct 2024, 14:31
Official
Dear Bruce B

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

Regards 
Discovery Health Servicing Team