1 reviews | Active since Apr 2012
Attempt to draw Mr Adrian's Gore attention to issues with Discovery Chronic devision
Discovery got an excellent business model but getting more and more beneficial for the effluent and wealthy. The wealthy get more value from all the add-ons (Cheap flights, fuel, gym holidays, etc) cross subsidised by the average person’s medical aid premiums. Discovery’s chronic division is an absolute nightmare to deal with, my own health is suffering due to continue challenges with them. My wife had a stroke in November 2022 and it took until 8 Sept 2023 to get funding approved for treatment as a Prescribed Minimum Benefit (PMB). This is now after mediation by CMS. So, after this stressful period just to receive another letter on 19 December 2023 informing us that benefit is suspended after a year. The specialist renewed motivation for same medication on 20 February 2024 and case is now referred for an appeal hearing on 26 March 2024. Discovery having their lawyers representing them, I was informed I can contract in specialists, lawyers etc at my own costs. WOW!!! Below copy of relevant sections of letter dated 8 September 2023 “Please note: This authorisation has been approved as ongoing. All items marked with an * will be replenished on a yearly basis and Mev Maria will not need to reapply for these benefits .” See below items marked with * 31 Des 9999* and note above that items marked with * will be replenished on a yearly basis and Mev Maria will not need to reapply for these benefits
Follow up Clopidogrel 75 biotech 30 per This benefit has been 18 Dec 2022 Medication Follow up Medication *** Xarelto *** . Month For approved as it is Clinically '12 : appropriate for the request. Ii Month(s) •' : 30 per ! This medicine is not on the. I : Month For medicine list (formulary). We 113 ! will pay for it up to the: Month(s) lmonthly The****utic: Reference Price. to 31 Dec 9999* 21 Apr 2023 1 to 31 Dec 9999*
Regards
Discovery Health Servicing Team
Regards
Discovery Health Servicing Team
Regards
Discovery Health Servicing Team
Regards
Discovery Health Servicing Team
