JO
Johan O

1 reviews | Active since Feb 2024

03 Sept 2025, 12:20

Dischem / Kaelo Refused Authorized Emergency Operation – Pensioner Left in Severe Pain

Title:

Dischem / Kaelo Refused Authorized Emergency Operation – Pensioner Left in Severe Pain

Review:

I joined Dischem Health / Kaelo in 2023, believing I would be protected in case of a medical emergency.

In early August 2025, I suffered a serious accident that completely tore my rotator cuff tendon and left my shoulder, arm, wrist, and hand swollen and unusable. I went to Vergelegen Mediclinic ER in severe pain, unable to move my arm or wrist.

The ER only did X-rays (which cannot show tendon tears) and discharged me with pain pills and a sling.

Instead of treating me immediately, I was told to go for a scan two days later at a separate radiology building.

Dischem / Kaelo authorized my emergency treatment, then revoked the authorization, claiming my surgery was a “follow-up” procedure — despite medical evidence that urgent surgery was required.

Multiple specialists warned that every day of delay risks permanent disability, yet my claim was repudiated.

As a pensioner, I cannot afford private surgery. I have been left in constant pain, losing use of my arm, and at risk of permanent disability because of Dischem / Kaelo’s negligence and refusal to honor their authorization.

They admitted causing me “distress and urgency” and apologized for “poor communication” — but apologies don’t fix a torn tendon.

⚠️ Question to other consumers: 👉 Would you trust Dischem / Kaelo to protect you in a real emergency, knowing how they treated me? 👉 How would you rate Dischem Health / Kaelo’s reliability and ethics based on this case?

📌 This matter is being escalated to the Council for Medical Schemes and prepared for legal action for damages.

0
Replies (1)
Dis-Chem Health (Medical Insurance & Gap Cover)
Dis-Chem Health (Medical Insurance & Gap Cover)'s reply05 Sept 2025, 09:38
Official
 
We're sorry to hear about your experience, Johan. We understand how frustrating this may have been. We assure you that we have taken the necessary steps to resolve this matter, and we will be in contact as soon as possible.