1 reviews | Active since Apr 2017

01 Jul 2017, 11:08

Threshold and claims error

<p>I recieved an sms from Discovery stating that I owe them R4000.</p> <p> </p> <p>I called into the call centre where i was informed that one of my hospital claims was submitted incorrectly and off set my self payment gap and threshold.</p> <p>The claim was reversed as it was processed incorrectly however the system didnt notify me taht there was an error and that the threshokd hadnt actually been reached.I recieved no details from discovery in regards to this.</p> <p> </p> <p>They are now trying to make me liable for their error.If they informed me as the memeber taht there was an error with my threshold then that would make sense however that was never done.I dont see why I as the member has to be made liable for their system error.They kept paying the claims and then after the fact they picked up the error.</p> <p> </p> <p>I think its utter nonsense that the member gets made liable for this.I pay discovery over R40 000 per year in premiums never mind the extra i pay out for things they dont cover.</p>

0
Replies (2)
Discovery Health
Discovery Health's reply03 Jul 2017, 09:17
Official

Dear andrea-hughes

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 reply04 Jul 2017, 13:27
Official

Dear andrea-hughes

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

Regards
Discovery Health Servicing Team