1 reviews | Active since Apr 2016
On a Claim Reversal Transaction - Discovery pays the member instead of Contra'ing the orig transactions?W?T?F?
I spent more than R200 on calls to Discovery Health to find out why the Savings amount was paid to me in a claim reversal transaction - when the original claim was paid from savings and Above Threshold benefits(ATB). I was told that since I am already in ATB, during the reversal they paid me instead of reversing the amount back to savings - In effect, on reprocessing the transaction Discovery took the amount TWICE from savings. I spent over R200 telling Discovery Health they had made a mistake by paying me - but they would not listen. After highlighting all the advice they gave me at the Call Centre (R200 worth!!), to the Executive Relationship Managers the Exec Relationship Managers tell me what I already know!?! Now they tell me to pay even MORE money for them to correct the transaction that they paid me - when they should have corrected it in February2016 already!?! I wonder if Dr Bloomberg (Discovery Health CEO) would be happy with: 1) all the Discovery Health barriers to get a Discovery system issue recognised? 2) the process of the Call Centre informing members on How to extract Savings from the Scheme? 3) Executive Relationship Managers promoting a member to take the issue with Discovery Health further for not conforming to TCF - Treating Customers Fairly? I have now been advised by the "Executive Relationship Managers"to take Discovery Health to the SA Medical Council. What do you have Executive Relationship Managers for?? What a HOPELESS Medical Aid Company for After Sales service!!!!!
