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FARHAAN B

1 reviews | Active since Jul 2016

08 Sept 2018, 20:11

THE GOOD THE BAD AND THE UGLY

FIRSTLY I WOULD LIKE TO THANK DISCOVERY FOR THE SPEEDY RESPONSES AND RESOLUTIONS THAT WERE DELIVERED IN MY NUMEROUS AND MONOTONOUS COMPLAINTS IT IS A GREAT PITY THAT I HAD TO RESORT TO SUCH PLATFORMS. BUT I SINCERELY APOLOGIZE AND APPRECIATE THE SERVICES AND RESOLUTION PROCESS CONDUCTED BY EVERY MANAGER CONSULTANT AND SUPERVISOR...

HOWEVER I CANNOT FULLY GIVE THE ABOVE COMPLIMENT WITH OUT FIRST HAVING THE FOLLOWING ISSUES IRON OUT. AND I ADDRESS IT ON THIS PLAT FORM TO MAKE OTHER MEMBERS AWARE OF THIS CONCERNS. THE FOLLOWING IS BASED ON A KEYCARE MEMBERSHIP..

A VISIT TO THE PSYCHOLOGIST NOW NEEDS A GP TO SPECIALIST REFERRAL AND A AUTH NUMBER . I DO NOT REMEMBER BEING INFORMED ABOUT THIS OR A CIRCULAR BEING SENT OUT.

FURTHER THE 2019 CHRONIC FORMULARY IS BEING CHANGED WE HAVE BEEN INFORMED AND TO PLACE ON RECORD DISCOVERY IS A NON PROFIT ORGANIZATION BUT THEY YEAR ON YEAR CHANGES A NOW DANCING TO THE TUNES OF THE PROFIT MARGINS AND THE POCKETS AND PATIENTS HEALTH AND JUST FORCED TO ADAPT OR DIE... MEANING MEDICATIONS ARE BEING REMOVED FORM THE FORMULA THEY ARE JUST BRANDS YES BUT NOT EVERY ONE AGREES TO IT. THE NEW GLUCOSE MACHINES WERE WILL WE GET IT FROM PATIENT FOCUS ?

THE GP NETWORK CHANGE THAT WAS IMPLEMENTED THE PAST 2 YEARS WAS A REAL BLOW IN THE FACE AND I WAS TOLD THAT MY GP THAT WAS REMOVED COULD APPLY TO JOIN IN THE NETWORK IN THE NEXT YEAR SHOULD THEY MET THE CRITERIA. WELL THEY HAVE BEEN TRYING EVER SINCE. THE PREMIER PLUS NETWORK WORKING WITH THE DIABETIC CARE PROGRAM ME WAS A TOTAL BULLSH#T STORY. EVER SINCE I WAS REGISTERED NEVER HAVE I HEARD OR DID ME DOCTOR SPEAK ABOUT NOR DID I GET THE PROMISED PERSONALIZED CARE THAT WAS PROMISED.

BEING REGISTER ON THE VARIOUS CARE PROGRAMMES ENTITLES THE MEMBER TO VARIOUS CONSULTATIONS WITH DIFFERENT DISCIPLINES THAT DOES NOT USUALLY GET PAID BUY THE KEYCARE OPTION. SUCH AS DIETITIAN BIOKINETIST PODIATRIST ETC ARE COVERED UNDER THE CARE PROGRAM ME . YET WHEN WE INQUIRE AT THE VARIOUS DOCTORS THEY REFUSE TO CLAIM FORM THE SCHEME AS THEY KNOW THERE SERVICES ARE EXCLUSIONS ON THE PLAN. WE CANNOT RISK PAYING CASH AND HAVING THE CLAIM REJECTED BUY THE SCHEME FOR PETTY ISSUES. WHY DOES DISCOVERY HEALTH PARTNERS NOT PROVIDE THE DECIPLINES WITH THE COVER STRUCTURE.

OTHER SCHEMES INCREASE PREMIUMS LOWER BENEFITS AD NEW FEATURES BUT DISCOVERY JUST SEEMS TO KEEP PUSHING MEMBERS IN A CORNER FORCING THEM LITERALLY TO DANCE TO THERE TUNE.

LAST THE HISTORY OF MY COMPLAINTS WERE ALL BASED ON *********** CONSULTANTS OR THOSE WHO HAVE THE TENDENCY SO PLAY THE BLAME GAME HAD THE CONSULTANTS READ AND FOLLOWED THE PROPER TRAINED PROTOCOLS EVERYTHING COULD HAVE BEEN ADDRESSED. SPEEDILY SO TO THE CLIENT SERVICE MANAGER. GET YOUR CONSULTANTS IN ORDER AND LET THEM ACTUALLY DO THE WORK THEY ARE PAID BY US TO DO.

IF SUCH TENDENCIES CONTINUE THE ABOVE ISSUES WILL BE THE REASON OUR FAMILY WITHDRAWS MEMBERSHIP.

AND LASTLY ON MY LAST HELLOPETER POST MY GRIEVANCES WERE REFERRED TO ISSUES I DON'T FIND THAT RESPECTFUL.

COMPLAINTS, PROBLEMS, GRIEVANCES. CONCERNS, THOSE ARE COMFORTING AND NOT RUDE OR SARCASTIC CRAMMER . TREAT MY "ISSUES WITH RESPECT"

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Replies (2)
Discovery Health
Discovery Health's reply10 Sept 2018, 08:24
Official

Dear dare2dream

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

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply11 Sept 2018, 12:09
Official

Dear dare2dream

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

Regards
Discovery Health Servicing Team