NH
Natasha H

1 reviews | Active since Aug 2012

16 Sept 2016, 14:33

Unacceptable service

<p>My son has been seeing a Dr every 6 months for the last 2,5 years. Every 6 months he needs a check up to confirm that the meds, which I personally pay R1200- a month for, are still at the right dosage. His last appointment was on 18/8/16. I requested specialist authorisation from Discovery on 9/8, and was declined. Redid the request on 15/8 and was only declined on 19/8, after the consultation. In the interim, I called them and was told it is in for review, so we kept the appointment as there is a 6 month waiting list. Again I redid the application for authorisation. They approve it today.. But only valid from 16/9-16/10... And refuse to backdate it to the original appointment. I literally spent hours on the phone talking to them and the GP to sort things out, explaining everything over and over to everyone. This is how sly they are and get you to pay for everything yourself!! We hardly ever use our medical aid, and then they do this. You are actually ridiculous Discovery! Cannot comprehend the pathetic and vague reasoning you have been giving me for 6 weeks, leaving me with the call centre to deal with. I did everything correctly, exactly as you request, for what? You still don't fulfill your responsibility. You have wasted my time, my airtime, my GP's time and my patience. Sad how you cannot hold up your end of the bargain! Previously you approved it immediately, but now it requires numerous review panels.... Maybe you would save if you looked at the pasient history, same GP, same specialist, same reason for 2,5 years. Then you wouldn't need huge panels to decide over and over how to get out of it. But clearly it has become alll about yourselves, and how you can avoid reimbursing us. Thanks for nothing... Please remind me why I give you a small fortune every year? To increase your review panel?</p>

0
Replies (4)
Discovery Health
Discovery Health's reply16 Sept 2016, 15:09
Official

Dear NatashaKH

We are sorry to hear about your frustrations. We are investigating your case and will get back to you as soon as possible.

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply21 Sept 2016, 15:30
Official

Dear NatashaKH

We can confirm that the relevant team has been in contact with you to discuss your concerns.

Regards
Discovery Health Servicing Team

NH
Natasha H's update26 Sept 2016, 12:25
Reviewer Update

Today Discovery sent me an email and will pay the amount claimed. Thank you.

What I really don't understand is that they refused me on several occasions and as soon as I complained here, the situation was suddenly not an issue for them anymore. Surely it is all unnecessary? Why do I need to go to these extremes to be helped?

Discovery Health
Discovery Health's reply26 Sept 2016, 13:09
Official

Good day NatashaKH

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

Regards
Nirvana