UNFAIR TREATMENT

My complaint with discovery health is that in August they processed a R3000 claim that I had paid up front, directly to the doctor. They reimbursed me only R2000 and reject the balance of R1000. (These numbers have been rounded to simplify this problem). Then 2 and a half months later, they just reversed this claim without any proper advice and reason. I discovered this reversal charge when I called to query another claw back amount that they want to debit my account with. It looks like they tried to sneak this reversed claim in with other charges that they are levying for changes to my Plan. They are demanding that I pay back the entire claim of R3000, not just the portion that they had paid for this claim. So the way I see it, is that it is costing me R4000 for a R3000 claim! How can this be correct??

Their members are totally at their mercy, and have to call numerous times for the same problems. We have to spend hours on the phone to the call centre, where abrupt staff appear to recite pre-prepared phrases and use words that only discovery can understand. So you go round and round in circles trying to extract an understandable explanation, until eventually they wear you down and you just want to give up and die, but you press on and in the end you ask them to email their stories to you hoping that this might help you to understand their weird processing, but they are exceedingly reluctant to do this. They’ll talk fast and abrupt and say a hundred things, but they just don’t want to give you anything in writing… Why??