GC
Gerrit C

1 reviews | Active since Aug 2014

31 Dec 2024, 12:31

Refunding of a rollatot

I am strugling since May 2024 to get DH to finance a mobility assistance as a out of hospital item. I forwarded a PMB application completed by me and a general practitioner as well as a motivation by a orthopedic surgeon. DH then requested a nappi code as well as ICD10 codes. This was supp**** to them. After all of this my application was declined and the reason was this equiptment does not qualify as PMB. I realised that a scooter is to expensive and on recommendarion of a consultant of DH I bought a rollator from Dischem with the understanding that I will be refunded in full by DH. After I put in my claim it was declined and further motivation was requested. I completed a PMB form and it was also completed by a cardiologist. This claim was also declined and I lodged a formal dispute. Now I received a letter from DH that they wanted motivations from doctors regarding my condition. As I allready supply them with letters from a GP, orthopedic specialist and a cardiologist I really cannot understand what they want anymore. It does not help to call them as their consultants are fully incompetant for their task.

0
Replies (3)
Discovery Health
Discovery Health's reply31 Dec 2024, 12:35
Official
Dear Gerrit 

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
GC
Gerrit C's update02 Jan 2025, 14:42
Reviewer Update
I cannot believe my eyes. I just received a letter from Discovery Health with an application attached to it requesting me to complete the form and send all relevant documents for a formal dispute.
I had submiited several completed requests with the required documents for a formal dispute but they keep on sending me this requests.
Surely,something needs to be done urgently at DH as the persons working with the requests are not qualified for their task.
Why don't they answer the queries and complaints on this public platform and not personal?
Discovery Health
Discovery Health's reply06 Jan 2025, 13:47
Official
Dear Gerrit 
 
We have been in touch with you to answer your comments.
 
Regards
Discovery Health Servicing Team