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Nick A

1 reviews | Active since Jul 2011

23 Jul 2018, 11:45

No help from Medical aid when you need it...

I am disgusted by the response of so called medical professionals at Discovery. I do hold one of the lower packages, I pay R4k pm for virtually nothing for last 10 years, and ones when you want to make use of what you pay of their “exiting” benefits, you have ben pushed from corner to corner by “competent” call centre staff that are there to make you give up so they don’t pay for specialist. I know that this benefits are so limited , but then why are they advertised whn you get blocked anyway from using them.. After few hundred Rands on telephone calls because they don’t phone you back if they need more info in your case, I am utterly upset. No one seems to care. Rules are created so you can give up after the second try, Or your authorisation rejected(or not approved) by reasons only they know. If you read their very colourful brochure, is written so confusing so you need masters in…I don’t know to actually find what are you entitle to.. or that you are entitled to nothing.. GPs have no idea of their forms so I had to bring print along , Then their ICD-10 No are only known to them but GP. Missing the first authorisation because of urgency they could not respond to (unless you are on the way to die within minutes) now I have to go again to GP and pay to get referral for FOLOW UP specialist visit?? How is this done? Ones I forked the Initial Specialist visit and scan, because of their games, We need follow up visit, But noo, Don’t think logic works for Discovery. Go to GP(and pay again) to be referred with ??/ diagnosis back to specialist. Is it really worth it? Or is a scheme to prevent you from getting claim paid. No Flexibility at all, I understand if they look at my case with magnified glass if I abused the system or I have number of claims, but I Only used this “benefit” ones for 10 years and I am looking forwards NHI so we can break free from this leaches. No communication from them at all. SMS at 9.30pm that just informs that something is missing. No Phone call to tell me and propose way forward to HELP patient..? I doubt they know the meaning of HELP.. especially they are in Medical field.. Ooo but the promotional calls for useless extra features- don’t stop.. then they manage to get hold of me.. Looking forward moving away from Discovery, I really cant see any benefit..

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Replies (3)
Discovery Health
Discovery Health's reply23 Jul 2018, 11:54
Official

Dear Nick99

We’re sorry to hear you’re dissatisfied. Please give us a chance to look into your query and we’ll be in touch soon.

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply23 Jul 2018, 11:56
Official

Dear Nick99

We’re sorry to hear you’re dissatisfied. Please give us a chance to look into your query and we’ll be in touch soon.

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply23 Jul 2018, 15:37
Official

Dear Nick99

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

Regards
Discovery Health Servicing Team