WT
Whaleed T

1 reviews | Active since Dec 2018

07 Dec 2018, 07:55

Penalized for Discovery Error...

Due to the fact that my medical savings was depleted, I consulted the Discovery website and spoke to a consultant about accessing one of my additional benefits; the Day-to-Day Extender Benefit, which allows me to receive General Medical Practitioner service from listed network GP's. According to the list, Dr Louis Muller, from Vredenburg, was listed as a part of this network. For this reason i then made an appointment and went for consultation. At the end of the consultation, the administrator requested that I make a cash payment, as the claim had been rejected, due to the fact that there is a discrepancy with Dr Louis Muller's practice number. I personally felt that this was not my fault, and the matter should be resolved by the concerning parties. I paid the consultation, and the follow up I made to Dr L Muller, as I had a reaction to one of he medications i received. The total paid was R 1170.89. Once back at the office, I called Discovery to find out whether or not i was allowed to claim for a refund from the scheme as the administrative discrepancy was not my fault, and according to the setup, the claim was supposed to be covered as I consulted a listed Day-to-Day Extender Network GP. The consultants that assisted me over the phone was very unhelpful as they took a look at the proof i submitted, and said that I could not claim for this, and the reason for the claim being rejected was due to the fact that the practice number for Dr Louis Muller is incorrect... I told the consultant, that as we speak, Dr Louis Muller is still listed as a Day-to-Day Extender Network GP.... My question is this... Why should I be penalized for a error that I clearly had NO control over? I did not make the error with the practice numbers... I did not list Dr L Muller as a Day-to-Day Extender Network GP...

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Replies (2)
Discovery Health
Discovery Health's reply07 Dec 2018, 09:04
Official
  Dear whaleed-theron 

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 reply13 Dec 2018, 14:23
Official
 Dear whaleed-theron 

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