Hellopeter
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CB
Carla B

1 reviews | Active since Oct 2019

23 Oct 2019, 15:22

********* business practice, empty promises and no resolution!!!

The service i have been experiencing from Discovery Health has been totally unacceptable. I have made numerous follow up calls and have been given endless promises with no resolution.

I took my baby to the ER and submitted all the relevant docs which i was told to submit in order to get my refund, but till today i have not received any refund. I am constantly told that that my claim was approved and will be paid within 3 – 5 business days. Its over a month now and still no feedback nor refund was received.

This is totally unacceptable. Not only is it ********* business practice, it is appalling that I need to continuously be making calls and following up on the same thing over and over again.

If someone does not sort this out soonest, I will be taking this further. I am no longer accepting the TAT of 3 – 5 business days. I need my money paid back urgently.

You are not the only medical aid in the market, its things like these that gets members to change to different Medical schemes!!!!

0
Replies (5)
Discovery Health
Discovery Health's reply24 Oct 2019, 08:36
Official
Dear Carla Blom

Your concerns are important to us. We will contact you soon to answer your comments.

Kind regards
Discovery Health Servicing Team 

Discovery Health
Discovery Health's reply25 Oct 2019, 10:33
Official
Dear Carla Blom

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

Kind Regards
Discovery Health Servicing Team
CB
Carla B's update25 Oct 2019, 10:43
Reviewer Update
I received feedback today. The casualty report and the PMB form is still outstanding which the scheme requested from the hospital. This feedback was only provided to me today because of my hellopeter post. Day of visit to the hospital: 2019/09/14. Over a month ago. Nothing I can do from my side except for following up with the hospital. At this rate I probably won't be getting any refunds. But I will update the result. It seems you have to complain on hellopeter to get proper service.
CB
Carla B's update07 Nov 2019, 13:56
Reviewer Update
So we are in November already. Date for claim: 2019/09/26. The Hospital provided the additional documents/forms 2019/10/28 and I also forwarded it to Discovery. Still no feedback from Discovery. No payment made by Discovery.

AGAIN: This is totally unacceptable. Not only is it ********* business practice, it is appalling that I need to continuously be making calls and following up on the same thing over and over again.
CB
Carla B's update19 Nov 2019, 16:43
Reviewer Update
Today 2019/11/19. Still no refund. I did however receive an email 2019/11/12 informing me they paid half of the claim to the provider! AFTER I ALREADY PAID THEM AND PROVIDED DISCOVERY WITH THE PROOF OF PAYMENT. Now 2 tickets have been opened for investigation. 1 to find out why only one amount was refunded. 2 to find out why the refund was made to the provider and not to myself.