MR
Mike R

1 reviews | Active since Aug 2020

06 Feb 2025, 19:01

Beware of Discovery Flexicare

Discovery Flexicare falls well short of standards set by Discovery proper. Their IT systems are not ready for commercial trading. They are unable to process electronic claims submitted by a leading pharmacy chain and leading pathology service providers. Their Call Centre staff lack training and are unable to resolve simple queries. Their standard response is “this will be escalated and I’ll call you back tomorrow” Of course no-one calls back. A paper claim submitted on 23 Jan has still not been loaded for processing, despite almost daily calls and emails querying the delay. I today lodged a complaint with the Ombudsman as they are denying their legal obligation to provide benefits for the treatment of a PMB condition. It is extremely frustrating dealing with this dis functional and unprofessional company.

0
Replies (2)
Flexicare
Flexicare's reply07 Feb 2025, 09:02
Official
We're so sorry to hear this, that’s not the experience we want you to have with one of our partners. We're looking into it and will get back to you with feedback as soon as we can. 
MR
Mike R's update27 Mar 2025, 17:04
Reviewer Update
Feedback seems to be a rare commodity at Flexicare. I hope that Flexicare is not deliberately delaying payments on this member's legitimate claims, hoping we'll give up and cancel her policy. She recently developed a chronic condition requiring regular claims for medication.
Insuring only healthy members is surely more profitable? This is just a suspicion; I have no proof.
The unbelievably poor customer service over the past 10 weeks suggests more than incompetence. Payments for legitimate claims submitted dating back to January 17th are still outstanding!