HU
Hos U

1 reviews | Active since Jul 2017

01 Aug 2018, 14:58

Time to seek a new Medical Insurer?

Having been with DH for 14yrs and have a MSA in excess of R90K, I ultimately signed an agreement with DH to settle all my accounts at cost and not at the scheme rate. Being the 3rd time in the last few weeks that I had to contact them to honour the agreement (on 3 different accounts) is really the pits.

Today I had the privilege of speaking to Jeanine Govender who informed me that the rules have changed (or I misunderstood them) the payment at cost is only for services, for pharmacy items used by the Dr, I have to pay the difference.

A few questions:

How do I know what is what on the account - there are no names only codes known to the industry.

Why was my previous mails blatantly ignored on this subject

Why was the initial call I made today "dropped"?

If I have R90K in MSA, why won't you settle my accounts?

0
Replies (8)
Discovery Health
Discovery Health's reply01 Aug 2018, 15:13
Official

Dear Igor_lll

We’re sorry to hear that you are dissatisfied. We’ll investigate your concerns and contact you again once we have completed the investigation.

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply07 Aug 2018, 14:01
Official

Dear Igor_lll

As soon as we’ve resolved and finalised this matter, we’ll contact you.

Regards
Discovery Health Servicing Team

HU
Hos U's update13 Aug 2018, 11:51
Reviewer Update
Somehow DH do not seem to understand my concerns expressed: I have R94K in my MSA, the DH Supervisor stated that the amount of R266.50 will not be paid via my MSA - I have to personally settle the difference or cancel/change my policy to receive the balance of my MSA - yet another source in DH says it can be paid from my MSA. Clearly the staff at DH do not know the product. Two E-mails to health info are still unanswered - why are client correspondence ignored? Currently DH's primary focus is on the dropped call - my question remains: Why do supervisory staff unaware of all the available options on the MSA and why are my two E-mails not answered by the health info group?
Discovery Health
Discovery Health's reply13 Aug 2018, 12:59
Official

Dear Igor_lll

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 reply15 Aug 2018, 11:56
Official

Dear Igor_lll

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

Regards
Discovery Health Servicing Team

HU
Hos U's update24 Aug 2018, 06:49
Reviewer Update
In the end, I elected to follow the suggestion of the Discovery Health team and elected to change my health (without a MSA) so that I can manage my own day to day expenses. LOL - only to find out that even on this seemingly simple request, the Discovery Health "rules" changes on a daily basis!! I was informed that I need to submit an E-mail requesting containing specific statements to facilitate speeding up the process of paying out my MSA balance (R88K). When I was notified by DH that my health plan downgrade is accepted and will be effective 01 Sept 2018, I duly submitted the required E-mail, with the hope that my request will be processed on 01 September 2018. Only to be notified by DH that I can only submit the request on 31 August 2018 (seems they do not have the technology to delay the activation of my request on 01 September). The really funny side of this event is that DH claims they "cannot" process my request BEFORE my new health plan kicks in, but have already made changes to the fund value of my MSA (via deducting the pro-rata amount for the remaining months). Ha ha ha ha ha - it appears different rules applies to clients. Good one Discovery . . . . . . . this latest action just makes me realise that it is possibly time to take my monthly business of ~ R8K to a more component and transparent service provider(s).
Discovery Health
Discovery Health's reply24 Aug 2018, 09:18
Official

Dear Igor_III

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 reply28 Aug 2018, 10:44
Official

Dear Igor_III

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

Regards
Discovery Health Servicing Team