FO
Farhad O

1 reviews | Active since Aug 2009

25 Apr 2021, 14:41

Poor and unfair service from Discovery

I was hospitalised at Waterfall City Hospital (date of service 05/01/2021) and then transferred to Sandton Mediclinic ICU (date of service 11/01/2021). Both hospitals administered a medication called Covifor as I was admitted for Covid-19, which adds up to R3000 and R6000 respectively. Discovery refuses to pay for Covifor. They required additional information which the hospital has confirmed that they have submitted. Despite numerous follow-usp since January 2021, on reference numbers *** & ***, I am always promised a follow up call after escallation of my query, but it has not as yet been resolved. I cannot understand why Discovery will not pay for a medication which I clearly needed if two seperate hospitals administered the same medication and even after relevant information was provided including the Section 21 form. I am beyond frustrated and will have to resort to the Office of the Health Ombud, as I dont have much of a choice.

0
Replies (4)
Discovery Health
Discovery Health's reply26 Apr 2021, 08:05
Official
Dear Farhad
 
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


FO
Farhad O's update29 Apr 2021, 11:28
Reviewer Update
Hello...thanks for the response on 26 April, however to date i have not as yet been contacted. I do not want to call Discovery again and go through the torture of another 45 minute call with another consultant who will promise to escalate the matter without any resolution again. PLEASE GET BACK TO ME AS PROMISED.
Discovery Health
Discovery Health's reply29 Apr 2021, 13:26
Official
Dear Farhad
We have contacted you regarding your query.
 
Regards 
Discovery Health Servicing Team 
FO
Farhad O's update07 May 2021, 10:12
Reviewer Update
Hello. Yes a lady by the name of Nicollette called me at about 12h30 on Thursday, 29 April, indicating that the matter is resolved and both claims will be paid out to the service provider within 2-3 working days. However since I did not see any payments, I called Discovery yesterday (06 May) and spoke to Brian who could not explain why the matter was not as yet resolved but promised me that Nicollete will call me back. However I did not receive any such call. Today is 07 May and 2 -3 working days have long passed. Just when I thought there was hope, I feel that I am back to square one. Please assist as I am at my wits end.