Discovery Health
Discovery wasting clients' time

My husband had his PMB condition approved when we joined LA Health (Had to pay the specialist to fill in the numerous pages of application). We had always called it a Chronic condition, which it is. Unfortunately for us LA Health employs Discovery as administrators. Clearly, Discovery expect their clients to be Experts in Language & Semantics. When Discovery declined to pay for the chronic meds prescribed by the Specialist we duly went back to ask him to prescribe one of Discovery's preferred meds (love it how a corporate tells a doctor what to prescribe). I take it to the pharmacy to fill - they tell me it is not accepted on Chronic. Write an email to Discovery (to which I am still waiting for a response) then phone the call centre. I am told I have to email the new script which I duly do. Today I wake up to an email from Discovery saying the meds are declined because 'no diagnosis' was given with the script!! I phone Discovery with the date of the letter confirming acceptance of the condition, with a Diagnosis! "Oh, but because you called it a chronic condition we could not accept it" says the agent. Guess what? - the correct name for it is a PMB! Silly me.

Company: Discovery Health
Country: South Africa
City: Cape Town

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