RC
Roulla C

1 reviews | Active since Oct 2018

03 Oct 2018, 13:02

Unacceptable SPG on Discovery Classic Comp. Medical Aid

I would like to check if anyone else on Discovery Classic Comp. Medical Aid has experienced the same issue as I have. My Self Payment Gap has always been around R2k-R3k. This year it was close to R7k. When I questioned it in the beginning of the year I was told they had received a few complaints and that it was due to a system error which they were working on.

After months of following up I have now been told the agent told me that in error and my SPG is correct, how can they even justify that with the premiums we pay!!

I have also noticed that for hospital admissions where we previous did not have to pay for admission that there is now a co payment due on day of admission.

0
Replies (3)
Discovery Health
Discovery Health's reply03 Oct 2018, 13:35
Official

Dear RoullaC

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

RC
Roulla C's update03 Oct 2018, 14:36
Reviewer Update
In all fairness with the above issue excluded I have been on Discovery for over 20 years and after reading all the negative reviews I have been fortunate to not have had any issues in all that time. Unfortunately things seemed to have changed this year and not to the benefit of the client, with high SPG's and an error made as claims are being incorrectly processed, to call center agents saying one thing and then something else. Consistency seems to be lacking.
Discovery Health
Discovery Health's reply05 Oct 2018, 14:42
Official

Dear RoullaC

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

Regards
Discovery Health Servicing Team