1 reviews | Active since Jun 2014
Terrible
And once again I have to complain about Discovery Health. Last year (2014) one of my claims was rejected, which was fine, I paid them cash, no problem. January 2015 money was paid into my account from Discovery with no email to me to say what it was for. Eventually I phoned to fined out, and was told it is from 2014. How can you just pay stuff from my savings in my medical aid without informing me, just make as you pleases. My gynae submitted her claim for my c-section of January 2015, Discovery rejected it without letting me know, now because of the late payment, I lost my 20% discount on the c-section.<br> <br> I truly think it is pathethic for not communicating to your clients. I did phone and asked the call centre to phone me back with a solution on how to get the money back into my savings, I will pay it back to discovery so that my savings is full again, because I have a month old baby and I don't want to waste my savings. But nobody phoned me back, which is disgusting, for a huge medical aid like discovery, you can't even properly train your staff to give feedback to clients.<br> <br> TERRIBLE!!!!!!
Thank you for your comment.
As disucssed claim submitted to us from your healthcare provider included multiple service dates. Certain claim lines were paid from your available Medical Savings Account (MSA) as we do allow providers and members to submit claims up to 4 months from the date of service. Other claim lines were rejected as the dates of service was outside the 4 month period and considered late. I am sorry that you did not get a notification of this claim being processed. We are aware of this and our Support Team have address this to ensure it does not occur again.
The in hospital claim was received in February 2015 and we processed this claim from the Hospital Benefit as per your plan type and Scheme rules. We did send a daily claims notification for this claim.
Please accept my sincerest apologies for the manner in which your query was handled. I have addressed this internally to ensure this does not occur again.
I am truly sorry that I could not provide you with a different outcome to your query.
Kind regards
Jashvir
Thank you for your comment.
As disucssed claim submitted to us from your healthcare provider included multiple service dates. Certain claim lines were paid from your available Medical Savings Account (MSA) as we do allow providers and members to submit claims up to 4 months from the date of service. Other claim lines were rejected as the dates of service was outside the 4 month period and considered late. I am sorry that you did not get a notification of this claim being processed. We are aware of this and our Support Team have address this to ensure it does not occur again.
The in hospital claim was received in February 2015 and we processed this claim from the Hospital Benefit as per your plan type and Scheme rules. We did send a daily claims notification for this claim.
Please accept my sincerest apologies for the manner in which your query was handled. I have addressed this internally to ensure this does not occur again.
I am truly sorry that I could not provide you with a different outcome to your query.
Kind regards
Jashvir