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elsa P

1 reviews | Active since Nov 2017

08 Nov 2017, 14:26

NO ASSISTANCE RECEIVED

good day I signed up with discovery via my new employer for medical aid January 2017 as it was compulsory. when wanting to visit the doctor with my son, I was told by discovery unfortunately my account is not activated as nothing was received from my employer which was sent from the PSG consultant but discovery did not update however R622.50 when off on my salary in January and I was only granted access in February. this caused me to sit at the day hospital a full night and morning and I couldn't be assisted as it was full. I ended up medicating my son myself at home. I recently added two dependents on my medical aid and was informed everything is active and ready for use. when I called discovery to ensure that all is in order and to inform them that the additional members cost was not deducted from my salary I was told that my account was suspended for none payment. I escalated to my PSG Healthcare consultant and she was absolutely awesome to sort it out. when my additional dependent needed to see the doctor on the 31 October I was informed by the receptionist of the doctors room unfortunately the medical aid was not activated and that the fee of R320 must be paid before consulting a doctor. we paid and a receipt was received. we sent this through for reimbur*****t as this was an error on discovery side and I was told the below when following up on the pay-out of R320: 1. Rushen who claimed to be a manager Ref# ********** 9831 informed me that I needed an invoice and I informed him unfortunately Dr De Villiers cannot supply this as I was told by the receptionist and that a receipt is supp**** for cash payments only. 2. I then asked what happens if discovery calls the doctors room and asked for the same thing, would I receive my money if the receptionist supplies the same info as supp**** to me, Rushen says unfortunately discovery will not pay as this then becomes a personal matter and consultation fee paid by us.

I have incurred a total loss of R942.50 including petrol cost for having to go to the ATM to draw money as well as bank charges but the greatest loss was SERVICES NOT RENDERED. question is: what if our children needed to be rushed to the hospital due to an emergency? would I have been liable to pay as well and to be told the same thing? I was forced to deduct the R320 from a priority on our budget as my partner was quite ill. please advise if this is the discovery I signed up who promised me that our needs will always be attended to? I am frustrated and ****ed as I have been calling constantly for feedback. I have escalated this to the PSG consultant again and have to wait another 24 hours for discovery to provide feedback.

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Replies (5)
Discovery Health
Discovery Health's reply08 Nov 2017, 14:51
Official

Dear elsap92

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 reply16 Nov 2017, 13:37
Official

Dear elsap92

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

Regards
Discovery Health Servicing Team

eP
elsa P's update20 Nov 2017, 09:44
Reviewer Update
once again... NO SERVICE DELIVERY!!!!! I was told last week by Jonathan everything has been sorted out with my claim of R320 and the funds have been released and will be available within 2-3 working days!!! this morning I receive a SMS stating the following "Discovery Health Medical Scheme: The doctor you visited on 31/10/2017 is not your selected GP. You may be responsible for a portion of the payment." WHAT THE HELL DISCOVERY!!!! 1. MY DEPENDENT VISITED HIS SECONDARY DOCTOR I LISTED AND UODATED WITH YOUR CALL CENTRE AND VIA MY APPLICATION WITH PSG WHICH WAS SUBMITTED 2. THE CLAIM YOU HAVE PROCESSED IS INCORRECT AS MY DOCTOR IS DR. ISMAIL AND NOT DE VILLIERS 3. NOW MY CALIM HAS BEEN REPROCESSED AND AGAIN I HAVE TO WAIT AS IF I MADE THIS DARN MESS I just spoke to Jonathan who has been so helpful in this process and is getting the beating for this bull ****!!!!! ref# ********** 121. WHAT ELSE IS GOING TO BE OVER PROMISED AND UNDER DELIVERED THIS TIME??? DO I HAVE TO WAIT ANOTHER WEEK FOR MY FUNDS AND PROPER ASSISTANCE AND WHEN I DO RECEIVE THE FUNDS I GET BANK CHARGED FOR IT WHEN THIS WAS NOT EVEN MY FAULT!!! I HAVE BEEN SO PATIENT AND IM ****ED OFF COZ ITS A SIMPLE CLAIM THAT COULD HAVE BEEN RESOVED BEFORE I POSTED MY FIRST COMPLAINT ON HELLO PETER. WHY DO I HAVE TO RESORT TO COMPLAINING ON HELLO PETER TO GET PROPER ASSISTANCE!!! I WANT THIS FOXED TODAY!!!!
eP
elsa P's update20 Nov 2017, 10:01
Reviewer Update
once again... NO SERVICE DELIVERY!!!!! I was told last week by Jonathan everything has been sorted out with my claim of R320 and the funds have been released and will be available within 2-3 working days!!! this morning I receive a SMS stating the following "Discovery Health Medical Scheme: The doctor you visited on 31/10/2017 is not your selected GP. You may be responsible for a portion of the payment." WHAT THE HELL DISCOVERY!!!! 1. MY DEPENDENT VISITED HIS SECONDARY DOCTOR I LISTED AND UPDATED WITH YOUR CALL CENTRE AND VIA MY APPLICATION WITH PSG WHICH WAS SUBMITTED 2. THE CLAIM YOU HAVE PROCESSED IS INCORRECT AS MY DOCTOR IS DR. ISMAIL AND NOT DE VILLIERS 3. NOW MY CALIM HAS BEEN REPROCESSED AND AGAIN I HAVE TO WAIT AS IF I MADE THIS DARN MESS I just spoke to Jonathan who has been so helpful in this process and is getting the beating for this bull ****!!!!! ref# ********** 121. WHAT ELSE IS GOING TO BE OVER PROMISED AND UNDER DELIVERED THIS TIME??? DO I HAVE TO WAIT ANOTHER WEEK FOR MY FUNDS AND PROPER ASSISTANCE AND WHEN I DO RECEIVE THE FUNDS I GET BANK CHARGED FOR IT WHEN THIS WAS NOT EVEN MY FAULT!!! I HAVE BEEN SO PATIENT AND IM ****ED OFF COZ ITS A SIMPLE CLAIM THAT COULD HAVE BEEN RESOLVED BEFORE I POSTED MY FIRST COMPLAINT ON HELLO PETER. WHY DO I HAVE TO RESORT TO COMPLAINING ON HELLO PETER TO GET PROPER ASSISTANCE!!! I WANT THIS FIXED TODAY!!!!
Discovery Health
Discovery Health's reply20 Nov 2017, 14:16
Official

Dear elsap92

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