KL
Kim L

1 reviews | Active since Nov 2011

19 May 2017, 09:36

Terrible service

<p>I am really disappointed in how Discovery Health's customer service has dropped so drastically. I had a procedure done in hospital that I was given pre authorization for. A month later the claims were still not paid. I sent emails and eventually got a call 9/05/2017, from a consultant by the name of Nomonde Skele. She advised me that she will send the claims for reprocessing and will call me back on the 11/05/2017. I received no call from her. Eventually I receive a Claims Transaction History on 15/05/2017. Showing claims not paid. I tried calling and leaving messages for consultants to ask her to please call me. She never did. Eventually got a consultant to send a email on the 16/05/2017, CC'ing her team leader asking her to please call me. She calls me and had such attitude on the phone with me. That I ended up apologizing to her for having the emails sent. She said she felt she did not need to call me because she had sent me a Claims Transaction History and that should be enough. When I asked her if she could look at it and see that there is a claim still not processed, she got annoyed and said she will send it back again and she won't call me with feedback, she will send an email. Again I just received a CTH for a different claim and this time it was sent to my husband as well, who isn't even on the medical aid. I called in and spoke to a consultant by the name of Sheldon, who advised me that the claim is rejected but can't really explain why. As I had pre auth for surgery. I have been a member of Discovery Health for 10yrs. If this is the way they now treat their members. I need to start looking for a new Medical Aid. </p>

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Replies (5)
Discovery Health
Discovery Health's reply19 May 2017, 10:38
Official

Dear customerconcerns

Your concerns are important to us and we will be in touch soon with an answer to your comments.

Regards
Discovery Health Medical Scheme

KL
Kim L's update24 May 2017, 10:39
Reviewer Update

Still have not received any communication from anyone from Discovery. I had to call in and spent 12mins holding before a consultant answered my call. Never thought Discovery's service would have dropped so drastically.

Discovery Health
Discovery Health's reply24 May 2017, 13:10
Official

Dear customerconcerns

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

Regards
Discovery Health Medical Scheme

KL
Kim L's update24 May 2017, 13:20
Reviewer Update

Received a call from Michaela half an hour ago to assist me. She was excellent in even explaining everything. Discovery needs more consultants like her. It would prevent unnecessary frustration.

Discovery Health
Discovery Health's reply24 May 2017, 14:18
Official

Dear customerconcerns

Thank you for your feedback.

Regards
Discovery Health Medical Scheme