KK
Kholeka K

1 reviews | Active since Dec 2020

25 Mar 2024, 11:36

BAD AND UNCOMPASSIONATE TREATMENT

I had a Rotator Cuff operation on the 1st of February. After being discharged from hospital I was advised by a physiothe****** to apply to my above-mentioned medical aid for PMB so I could continue attending physiotherapy sessions outside hospital- seeing that my savings were depleted. I called Discovery and requested forms which they sent. I asked the operating doctor to fill in the forms for me. I emailed the forms to the supp**** e- mail address. Needles to say that I have emailed the forms more than once and called them more than once but they keep making excuses. There was not even an acknowledgement of receipt or anything. Today I called again and they told me about ICD 10 codes. I told the lady to put things in writing and in layman's terms because I wasn't understanding her. She promised to call me back but never did. I paid R710 to get the forms filled in by the Orthopedic, for what? If there's something wrong with the forms, why not explain and or ask the doctor to explain ? I'm tired of the runaround. It's been a whole month after my op but I've never done physio. I feel that I'm being treated unfairly and cruelly. I need the physio treatment for my shoulder to heal.

0
Replies (4)
Discovery Health
Discovery Health's reply25 Mar 2024, 12:30
Official
Dear Kholeka K

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
Discovery Health
Discovery Health's reply27 Mar 2024, 10:30
Official
Dear Kholeka K

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

Regards
Discovery Health Servicing Team

KK
Kholeka K's update27 Mar 2024, 16:00
Reviewer Update
I received a call this morning from a Discovery lady who said she was responding to my complaint here. She advised that i should ask the doctor to change the ICD 10 codes to speak to the injury that i was hospitalised for. Spoke to the doctor and he maintains that the codes that he used on the application form for PMB are the correct ones and they do are supposed to qualify me for PMB . I’m not sure what it is that I’m supposed to do now because the doctor insists that the codes he used are the correct codes.
Discovery Health
Discovery Health's reply08 Apr 2024, 16:12
Official
Dear Kholeka K

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

Regards
Discovery Health Servicing Team