GB
Gisela B

1 reviews | Active since Jun 2020

13 Apr 2026, 13:47

Refusal to pay for doctor visit

I have been approved on DTPMB for N95.1. When I went to see my doctor today, Discovery refused to pay for the visit saying I "don't have a basket of care." However, my medications are getting paid every month and it is NOT a CDL. I contacted CMS who advised I needed a letter stating the reason why they don't pay for my consults. Discovery is unwilling to send me such a "non standard" letter if I ask for it telephonically, even though I've told them I did not have access to email at this stage. The last consultant I spoke to in the chronic department even refused to give me her name. My ref no for that call was ***. I have also requested numerous times that a MANAGER contacted me back. Still waiting... I would like to conclusively state that a Client Relationship manager is NOT a MANAGER! They are merely consultants with the word "manager" in the title to passify members who want to speak to a MANAGER. Discovery is busy s****ing the bottom of the bucket with their service!

0
Replies (5)
Discovery Health
Discovery Health's reply14 Apr 2026, 06:29
Official
Dear Gisela B

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 reply16 Apr 2026, 15:23
Official
Dear Gisela B

We have been in contact with you.

Regards Discovery Health Servicing Team
GB
Gisela B's update28 Apr 2026, 07:50
Reviewer Update
Much help you've been in contact with me! Everything has now been declined by some Einstein!

Do you even train your people? THIS IS A DTPMB!!!


Discovery Health
Discovery Health's reply30 Apr 2026, 10:40
Official
Dear Gisela B 

We are busy investigating your query and will contact you soon.

Regards Discovery Health Servicing Team
Discovery Health
Discovery Health's reply05 May 2026, 15:00
Official
Dear Gisela B

We have been in contact with you.

Regards Discovery Health Servicing Team