TM
Thina-Kwakho Mqalo

1 reviews | Active since Dec 2013

14 Aug 2019, 12:07

Any illnesses i have being linked to the waiting period conditions

After being hospitalized for Pneumonia in June and a forensic check from my previous doctor, Discovery has linked it to my sinuses (which is a waiting period illness of 12 months).Both the doctor at the hospital and my previous doctor mentioned nothing about sinuses being the cause of the pneumonia, or any bad sinusitis attacks in the past 6 months. At this rate the medical aid is starting to seem a bit pointless to keep because if i should come across any bacteria or virus (flu, bronchitis,any ear infection) for the next year will be linked to my sinuses and not paid for. Had i known before i wouldn't have taken the medical aid, i have no idea how i am supposed to pay a hospital stay, doctor bills and tests, and yet still pay for the monthly installment for the medical aid on my salary.

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Replies (3)
Discovery Health
Discovery Health's reply15 Aug 2019, 07:36
Official
 
Dear Thina-Kwakho Mqalo 

We’ve noted your concerns and we’re investigating the matter. We’ll contact you with feedback as soon as possible. 
 
Regards
Discovery Health Servicing Team 
TM
Thina-Kwakho Mqalo's update20 Aug 2019, 09:39
Reviewer Update
The agent that contacted me after i logged this complaint gave me completely different reason as to why my claims have been declined. She explained that i had been at an out-of-network hospital, when i had informed her that i had infact started at an networked hospital then moved by the hospital to another one and no claims for both hospitals had been paid, then the reason changed to "either way your claims were going to be declined because of your hospital waiting period". this was new information to me, the only waiting period that appears in any document i have with Discovery is for my sinus. The reason as to why my claims have been declined have now been changed 3 times with no clear explanation.
Discovery Health
Discovery Health's reply20 Aug 2019, 12:19
Official
 
Dear Thina-Kwakho Mqalo 

We have been in touch with you to answer your comments. 

Regards
 Discovery Health Servicing Team