PS
PragasenSoobramoney S

1 reviews | Active since Jun 2013

20 Jul 2021, 21:06

Pathetic Service from Discovery Health and Netcare 911 and call centre does not answer calls.

Good evening trust you well. This electronic communication servers to confirm that I am a member of Discovery Health and I am totally dissatisfied (a mediocre) word to used of their call centre department.This has happened to me more than several times and colleagues of mine are experiencing the same problem and issues of concern.I have tried all avenues and have exhausted them to it’s climax in the infinite.It is rather sad that I have to write a negative review about the company mentioned above.It is my first but I cannot say this will stop there because it just seems to repeat itself on a on going basis.I called the call centre from the hospital I was admitted to seventeen times and failed.Never failed to try but tried and failed.I called them again today and this afternoon and this evening,prompts you to put in your information press the # key ,press 1 and then automated voice says hold for a consultant.Well I waited and watched the timer on my phone which was running,just a flatliner = Silence all of a sudden music plays forbunder 30seconds and dead again but the call is still on a wait mode.Waited for 24minutes and 32 seconds and dropped the call.Tried again to the call centre and tried to get through the Covind line same situation. I call this “over promising and undelivering” So the demand outweighs the expectations in all spheres.I even tried to call the excutive line all day and this evening and failed.There is so much of negativity in regards to my vocabulary towards Discovery Health over these past few months that I cannot voice or express my frustrations and emotions going forward.Just absolutely pathetic service just to keep it short.Their “system of approval “ is a joke.You admitted to hospital,then you receive an approval letter undersigned Dr Roshnie Pillay Naidoo I think and stand to be corrected days later while you still in hospital as a patient and this electronic mail comes after close of business hours meaning 17:16pm on a Friday with a deductible of R8700.(This supposed to be an upfront payment to the facility) why no one knows.I called the call centre on the Saturday from the hospital reception only to be told that I am in the wrong hospital which was a PMB hospital by the agent who investigated with the panel while I waited for a long time until she got back to me saying the same thing,the panel says that you are in the incorrect hospital.For ?sake I have always been admitted to that hospital on many occasions for over a five year period or so,no problems then.I was under Major emotional distress because the agent told me I had 10 minutes to make up my mind and call her back.I automatically turned into panic mode and I have cor mobility’s and one of them been Epilepsy,I felt I was having a seizure maybe did I think a complex partial seizure.You know your surroundings but you have temporary loss of memory completely,don’t know whether you took your chronic medication or not that’s how serious it was.You just curl up in a fetal position and stay still until is passes.I even had my neurologist and psychologist consult me in hospital.I had diverticulitis of which is a PMB condition anyway.So I get discharged a few days later and peruse this issue again.They put me through to the clinical Manager who told me don’t worry,we waviered the deductible.I said what? there should not be a deductible reflecting on the authorization at all in the first place.I told her I don’t think i can converse with you any longer and put me through somebody who is in a higher salary bracket than you are because you cannot comprehend behond the metaphysical (as a figure of speech).She said there is nothing more she could do and concluded the conversation.I then call the next day back to the call centre ,hoping I can get an honest answer,well thank God for this gentleman who answered and seem to portray a character of excellence.So we spoke I did not become technical,I navigated him through the list of hospitals on my plan type and told him look under KZN Etheweni heart Hosptial is it on the delta network fourth from the top of which he agreed to.He said something or someone is totally mislead in this regard and he will most definitely investigate and get back to me of which he did and said I was correct all the time and he will get someone from executive office to call me.I said ok but not this person ? because he does not even know of the Patients Rights Charter surly he will not know the contents of it,leave alone The Bill Of Rights,Batho Pele Principles,National Health Act and off course the South African Constitution which enshrines all of these acts.Actually that person complained about me to Ms Kerry Kneale who sent me an electronic mail without a responding mail address.So I did what any South African would do we have freedom of rights and speech.I got onto Linkned I think and there she was went got myself invited and voiced myself as per my rights so everybody could see.Now that is what I normally don’t do but if you treat me like a dove and put me in between a hard place and a rock they say the calmest bird they dove is liable to kill you.Any I was call by someone from the executive office of which I have the utmost respect for because that person,not at liberty to mention name put my frustrations at rest within 10 minutes maximum.All that person told me there was a problem with the system and it simply defaulted with a deductible of R8700 in error to the group of Lenmed hospitals.Just a simple question in regards to a simple answer but all the lies in between of which is recorded.Had a similar problem on my last admission had to leave earlier because of the unrest in Queen Nandi drive.I get the letter of approval for my hospital admission on the 16thof july 2021 when I was admitted on the 09/07/2021 now how pathetic is that,and if there was an upfront payment too late I am already home.It was even a nightmare going home no one in no one out.I was actually a guest for one night at the hospital at the cost of the group thanks to the hospital Manager Mr Neresh Bechan.Called Netcare 911 from hosptial reception gave them all they needed ,was told to hand the phone to the hospital admission clerk which I did they wanted to speak to me again,spoke to them they want to speak to the clerk again gave her the phone ,shebthen had to transfer the call to the ward I was in and that was that they supposed to call back no one did .I saw a paramedic at reception from another company asked him for help said ok no further questions asked called his station and they dispatched and ambulance out to me in 20 minutes because it been a high risk area at the time regarding the racial tension near my dewelling,they used the main ambulance to Mt Edgecome I was then put ito the rescue vehicle which was armed but like an ambulance taken home safely while the driver stood guard while his partner to me into my house carried my luggage as well.Called me later to find out if I was fine I said yes.Will always use them from now onwards they go that extra mile.Netcare did not “care” to ever call me but excuitive office called me the next day and said that they could not put the ambulance personnel in jeopardy.What about me when they were coming to burn the hospital down for ?sake.How the other ambulance service did it and with all the emotive language all over the net and media and branding Netcare did not “care” petrifying that’s all I can say. “When you join or sign up for the army all they can promise you is that you may die but they cannot guaranteed that you would live” so please when you sign up know what you signing up for.In closing I will promote this other ambulance company on another day with a very special compliment.Thanks I still await the out come of the investigation hospital admission approval dated the 16th July 2021 when I was admitted on the 09/07/2021. Discovery Health Rating now third down the line and are losing members.To get to number one is easy ,staying there Discovery Health is very hard to maintain trust you in me I was a Service Manager for BMW and came from a white collar background I know what SCSI levels are all about have a look at yours.I also know that these call centres are just sub contracted to yourselves.Contributions went up in July 2021 was told that the MSA saving will go up accordingly on the 1st of August2021 ,then was was told by another agent the MSA savings already went up in May 2021,who do you believe?.I was told today by an agent at the call centre a very sweet person I must say that I need to police my MSA on a weekly basis because the”system” again defaults and debits your MSA savings even when you are in hospital.Best of Luck Discovery Health in the future. As always Dear Mr Gore assuring you of my best attention at all times.Regards P Soobramoney.

0
Replies (3)
Discovery Health
Discovery Health's reply21 Jul 2021, 08:22
Official
Dear Pragasensoobramoney S
 
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 
PS
PragasenSoobramoney S's update29 Jul 2021, 21:24
Reviewer Update
Evening trust you all well and safe.Its very kind of your company to send an “Auto” reply but
did not make contact with me in regards to the matters and concerns of which I had and currently still have.You may ask the question “why/what’s wrong “?.Well nobody has made contact with myself from Discovery Health via a Telefonic conversation as to my issues and concerns at hand but rather again if I may say “Over promise and under deliver”.I don’t think a simple electronic mail can sort out all off my frustrations at hand by mearly typing and pressing on the “send” it does not work like that.I have been waiting from the 20/*** for answers but it seems and it is just my perception that your company is now portraying a character of indolence towards my issues and concerns at hand.Let me make it simple,I personally called Netcare and was put through the CEO’s office and off course his PA will answer not Dr Richard Friedland I expected this.I was told that the call centre will call me.I said in the affirmative,no thank you.Was then asked why? I said I will never ever speak and waste my time In engaging with a dialogue with the Call centre Manager namely Mr Christopher Symons because he has absolutely nothing morals,ethics,principles and social skills when it comes to having a conversation with a client/patient.He will not tell you who he reports to,asked him three times trust you in me.All he could say was the Operations Manager and refused to give me his name,and we concluded because it’s a waste of my time arguing over a name of which he will not give me ,knowing very well just my perception again he was not competent in the area I was having issues with and could not answer in a clear, concise and reasonable decibel of voice at the time.So I am at liberty to say that the Operations Manager Called me on my cellular phone and addressed the matter.I explained to him and he did apologize on behalf of Netcare 911 and Mr Symons.I even told him I even stumbled over the Director of Operations Mr Shalen Ramdath well I did not take it that far.Mr Gary Paul the Operations Manager said he will take it up with Mr Symons and the relevant parties involved.Well it’s been a long time and I have absolutely no response from him.Well I am now like a dove stuck in a corner,unfortunately I have to go to the fire brigade to put of this matchstick.Try with the Director first then Dr Richard Friedland.I don’t think they will want
to know about the ******* kidney purchasing from the Romanians etc for wealthy Israelies and SA slapped with a fine of more than R7million.Net care head office is in the UK hate to meantion anymore.Coming back to my admission regarding the deductible reflecting R8700 on the authorization,I am simply saying this for the last time,please get that kind warm hearted African gentleman to call me regarding this deductible for no reason and everybody else in Discovery Health seems to be covering up for each another and sweeping this matter under the carpet.Please if I may say it doesn’t go away it just gets bigger and bigger and blows out of proportion and then it to late because the whole team of the fire brigade station is out attending to put out a inferno when it all started with a matchstick.I need answers,please don’t hide behind electronic mails that’s showing my perception of being ***ard.Come out in the light ,call me ,let’s talk don’t avoid confrontation or conflict let’s just cut to the chase,simple.In closing you all know very well who is involved,I have already requested for the unedited recordings of all calls,and a software engineer will look into it if I find that it is not in occurrence of what has happened.I was **** to by executive office,that their lines were down,not in the office etc.Simple automated message out of office please speak or email so and so or call so and so,but no they don’t want to do that because there is no excuse.When you call the number at executive office ,rings and rings,no answer.Try again almost immediately the phone is busy on another call when you supposed to be out of the office,who’s fooling who here now please.So in essence the person knows who I am referring to please do a thorough investigation into the Netcare 911 issue.Firstly I was told Discovery Health was going to send a helicopter through and pick me up,then it changed.That there was not enough Netcare 911 ambulances available and one was parked outside the hospital while the paramedics were having a break and then I was told that Discovery Health protocols were not put the ambulance service personnel in harms way or in jeopardy because of the unrest in the area.I was told by the doctors that they are closing the hospital because the looters are coming there next to burn down the place and would be looking out for the pharmacy.Now to the excuitive office what do I believe kindly remember all this has been recorded.There is a lot of contradictions going on here by one party with making promises then changing the story.Only the truth will set you free.So call me kindly don’t mail me because I want to have an open conversation with yourself as you know I can mail Mr Adrian Gore and Dr Ryan Noch of whi I don’t want to just need straight upfront honest answers because my life was at stake here not yours.My vocabulary is much too limited currently to express my emotions and feelings going further in regards to how IPPS ambulance team helped me in a time of crisis and need not even asking my name address just going behond the line of duty to help me home and be safe.Netcare 911 I told the Paramedic in charge,as he asked me three times for my name surname and I’d number.Is he crazy,I am in a fetal position in excruciating pain and he says I got attitude.I told him I have a wonderful personality but my attitude depends on you and what you say.I got upset two hour window period if you have diverticulitis and it perforates ,fecal matter into blood stream ,cut you open colon taken out clamped on both sections,cut cleaned and resectioned,do I have time to wait.Walked to the ambulance myself and jumped in while the main paramedic was trying to blow sugar up my rear end ,I recorded everything.Sad,sad,sad,plus they had this kawali music playing,hey very bad experience.So you know who you are from excuitive office let’s put things right and in their proper perspective and kindly give me the correct information from one’s investigation regarding 911 as you well aware by now I have the recordings so please no more lies or excuses whatever you want to call them.Secondly I will only like to talk to the African gentalman in regards to the R8700 deductible for no reason,that’s the only person I can put my trust in everybody else **** and unfortunately for them I have the recordings and they will have to be accountable for the lies of which they told me and made me believe in the affirmative.That weekend I was under extreme emotional distress.I will address that issue once you have done your investigation.Trust you in me please ,I treat my mind like a weapon,I always keep in loaded and ****ed just for the unexpected (figure of speech).Kindly remember how many days have gone by with no human intervention since I put up this post since the 20/07/2021. If I had to choose between been an elephant and an ant ,I will choose to be that and,because that ant if it goes far enough up the elephant’s nose it is liable to cause so much of damage that it will bring down that elephant to its knees and will then decide to take a bite or not.I will be busy from early morning till noon.So if anyone suited enough can give me a call I will be most glad to take up the offer and have a conversation with that person as long as they are honest and up for the challenge.Don’t make promises and break them I read between the lines eg whether one is in the office or not.I rest my case for now.I only wish when I return back onto this platform I will have some positive news to say about Netcare911 and Discovery Health.Best of regards P Soobramoney ***.
PS
PragasenSoobramoney S's update02 Aug 2021, 22:13
Reviewer Update
A very good and awesome morning to you Ms Delia Gapol and trust you well.
My vocabulary is much too limited to express my emotions and feelings going forward with how you handled my issues and concerns at hand,with such professionalism and so well
Orchestrated when it came to your promise made as to the precise date and time of which I have to say was of par excellence.You have taken the necessary steps going forward in making doubly sure that this error does not duplicate itself.You have definitely put my frustrations at rest and all of my concerns were addressed which meets my expectations and approval in all spheres.Once more thanks to you for you are worth more than an asset to your company and a job well done.God richly bless you unconditionally always. To the public I say this that I was caught between a hard place and a rock and Ms Delia Gopal came to my rescue and let this be kindly known that Discovery Health now gets a 5✴️✴️✴️✴️✴️ rating from me because they indulged in a swift approach to sort out my concerns and will continue remain a member of theirs. There was just a small glitch in the system and they did not receive my initial statement made on this platform. Discovery Health’s turnaround time is behond the metaphysical.Many thanks. Best and warm regards Clive.