AK
Andries K

1 reviews | Active since Nov 2017

19 Dec 2023, 09:54

Shocking short sightedness @ chronic dept “back office” application

Dictation to word;

G’day Complaints department( chronic assessment back office team ,

This is in regards to your chronic application for cover for diabetes type 2. I’d like to express my horrific reaction and I’m using these words because it’s exactly the short sightedness !!! Of the assessment team in chronic they cannot see the bigger picture let me provide you with the following facts .

last year I was put on chromic cover for for hypertension primary .

Im also on I’ve seizures medication ) chronic) for every night .

on the 3rd of October 2023 I was diagnosed with diabetes two. The doctor performed a finger *****ing blood test for a reading which . Was reported again to double make sure the readings were correct. At12.2 Another test was performed it’s called HBT or HBD something like that , however with that I’ve got a prescription and I have been on medicine for the last two months.

I’ve actually fainted last week again 157/115 now you tell me if that is normal? Fainting comes and go randomly that being said . on the 14th of December application for cover under chronic was sent through to the chronic department. I followed up yesterday morning and spoke to Lady with the name of NKENKETHULA she was a wonderful lady she Assisted me at 9:15 10/10 for being excellent . Querying my update on my application .

I received a callback from this lady saying that my application has been declined because the chronic department like a blood test .

This what blows my mind to understand actually that the doctor would not sign a document .

Dr diagnosed to seeing that they performed to test already in his office and was noted in the application yet insist on the blood test .

now we were sitting with the situation where I went back to the doctor room at 2 pm yesterday afternoon , and this is this is the options of sitting with .

I need to go off my current diabetic medication for atleast a month !! to be able to get my blood sugar levels up to 12 points and again .

then I can go for test to satisfy Discovery . so I would like to know From Discovery would they like me to go with my current medication that I’m actually on since the 3rd of October 2023z. Seeing that there has been some improvement since I started the diabetes meds . If I had to do blood test now Ofcourse it’s going to show less than12.2 as on the 3rd October not

yesterday rep**** to an email the first reference number was actually for mail it is hash *** hash with that was ***.

Then I rep**** ( which n to the for declined e mail ) and got this mail hash *** hash.

I spoke to you in the afternoon inbound Call Centre which I was actually horrific because I got frustrated with her , because again I asked to speak to Manager and she just tunnel vision ,

Thats what I call it . so unfortunately I think that some some of these agents are brand-new and inexperienced but yet you’re playing with my life , so then not rep**** on on that rejection or got another reference number for reference Mail ref *** I do not have the time to lodge a formal complaint at the dispute panel or whatever . And wait three weeks for the outcome I need to know literally in the next 24 hours what is actually going to happen .

seeing that I’ve attached all my records again plus additional information on this returned which was sent to CIB APP at Discovery .co.za if someone can actually get back to me in writing what what the stand of Discovery all I need to know as a medical company . I have two choices to be able to satisfy you I need to go for my medication for 30 days , then my levels will be high enough again to be Alarm then I can get a blood test seeing that potential already so potential diabetes is lethal combination for strokes heart attacks blindness as you know . so would you like me to take that risk please ??

Please Answer me

that and I’m not being sarcastic this is short sightedness. I cannot believe that medical assessment team cannot see that is probably due to agents that is doing this job that tunnel vision as well .

instead of someone with a bit more experience to look at the overall and look at this man’s chronic history and say he’s already hypertension he’s already on seizure medication says that ( hypertension ) and diabetes lethal combination .

yeah this is not so there’s no other way of satisfying your request so please give me an answer in writing yes or no I need to go off because I cannot you cannot have your cake and eat it because I cannot perform my miracle to create a test now for you . that will waste money and will probably not be in the levels because the medication is helping me to certain extent to bring it down not to normality yet But the point is I’ve been worried more than two month past because I went on it on the 3rd of October so please get back to me as soon as possible I really appreciate it .

however with Sadi when I called in at 4 o’clock yesterday afternoon I do not have a reference number they can follow up it was inbound Call Centre I would actually logger complaint against her

I couldn’t get any further with it all she wanted is do you have another cell number in case the school drops I’ve one cell number what would you like me to do to invent another telephone line again I’m actually Stand but I’m actually extremely annoyed about this ,

and disappointed because this Discovery is been actually great I’ve been recently giving a lot of compliments for other people agents but as far as now the chronic back office where does it does this is I cannot meet I’m speechless I don’t have words to actually express what expect to hear from that so can someone actually look into this to day

I cannot let indefinite this is Christmas time now I need a decision yes or no

thank you very much Andries

0
Replies (3)
Discovery Health
Discovery Health's reply19 Dec 2023, 10:56
Official
Dear Andries K

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 reply20 Dec 2023, 15:31
Official
Dear Andries K

We have been in touch with you to answer your comments.

Regards
Discovery Health Servicing Team

AK
Andries K's update20 Dec 2023, 20:07
Reviewer Update
Good day .
I don’t no want throw mud around .
But to have spoke to a do called case worker ( is that a fancy name for an agent replying to a series concern.
Firstly u have asked Discovery to satisfy their obsession with a blood result test . After over whining addition ( second ) mail sent )
I think the best way forward is a dispute with Ambudsmsn. As I have tried to assist discovery as much as I could .
Clearly your last reply was a brush of .
Shame on you
Next time you hear from me in regards to Dibetes 2 . Will be at the ombudsman .

And I will do this h just proof a point .

Pls keep your R 60.00 for my diabetes meds. Hopefully when I have strike ir hart attack . It will cost you hundreds of thousands for being short sight . And clearly not taking hypertension and diabetes combination seriously .

Regards