LP
Luzaan P

1 reviews | Active since Mar 2018

18 Feb 2025, 10:41

DO NOT TAKE DISCHEM MEDICAL INSURANCE

am writing to lodge a formal complaint about the unacceptable and unprofessional handling of my claims with Dischem Health/Prime Cure. I am deeply frustrated by the denial of coverage for blood tests, despite your assurance that such tests are included in my plan, as well as the refusal to cover essential treatment for my life-threatening condition, Type 1 Diabetes.

When I enrolled in the Plus Plan, I was under the impression that it would provide adequate coverage for necessary medical procedures, tests, and treatments, especially considering the serious nature of my diagnosis. However, I have faced repeated refusals from Dischem Health/Prime Cure to cover blood tests, which are clearly outlined as covered under the plan, and more concerningly, my insulin treatment is no longer being paid for. This is particularly alarming as insulin is essential for the management of Type 1 Diabetes and a matter of life and death. I understand that the Plus Plan is classified as medical insurance; however, this does not justify the blatant disregard for the medical needs of your customers. If the plan is not truly fulfilling its promises or providing the necessary coverage for critical conditions such as diabetes, then it is misleading and falls far short of what one would expect from a healthcare provider.I am extremely disappointed in the lack of support and clarity from Dischem Health/Prime Cure. The product I have been sold does not meet the basic needs that were promised at the time of sale, and I am left in a vulnerable situation without access to the treatment I require. Given this, I would strongly advise others to reconsider purchasing any cover with Dischem Health/Prime Cure. This experience has shown me that they are not fulfilling their commitments to policyholders, and the insurance is, in my case, entirely useless. I respectfully request a full review of my claims and a detailed explanation for the refusal to cover necessary tests and treatment. I also request that you provide a solution to rectify this situation and ensure that the cover I have paid for is honored. Thank you for your immediate attention to this matter. I expect a prompt response and resolution to this issue.

0
Replies (2)
Dis-Chem Health (Medical Insurance & Gap Cover)
Dis-Chem Health (Medical Insurance & Gap Cover)'s reply18 Feb 2025, 12:05
Official
 
We're sorry to hear about your experience, Luzaan. 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. 

LP
Luzaan P's update21 Feb 2025, 09:49
Reviewer Update
I have recieved this from your escalations team - yet, every query was provided, and yet still no feedback?

Dear MS L Du Plessis
Trust this email finds you well.
Please note that we have received your recent review left on Hellopeter hence we are reaching out to understand how we could possibly resolve this matter.
May you please provide us with the invoice of the rejected claims in order for us to further investigate.
We look forward to hearing from you.

Yours Sincerely
Safinna Shaik
The Escalations Team