1 reviews | Active since Aug 2015
bad service
I am Deidre Steenbok 55 year old. I contact Jenus medical aid for a quote. I spoke to a gentleman by the name Zaarik Yoosub he said he will give me a better deal from Discovery which I took. I explained to him that I had a pre-existing condition and ask what the waiting period was he told me that there was not a waiting period on the condition I have I accepted it he never send me that documents it was done over the phone. He also said all conversation was recorded but now nobody can find that recording. I send Discovery a Gmail about an operation I am going to need I got no response! I had that conversation in October last year I joined Discovery Delta Classic the 1st of January 2015. Last Friday evening Discovery emailed me to say they cancelled my membership! I was at the Dr in May and the operation was scheduled for the 13th of August when I ask for a authorisation number I was told about the precondition document that was not existing. Now Discovery say I spoke to a broker well he never said to me he was one. I need a hip revision, have a crack in my hip it's urgent for me to have that operation. If possible please can you help me its very urgent. Please help me.
Thank you for your comment.
When a member joins the Scheme, we process the application according to the information disclosed on the application. Once your membership is activated and we receive a request for either in or out of hospital authorisation within a certain period of time our system will automatically pend the request. We will then request further clinical information from your provider. This process is necessary to ascertain whether there was any pre-existing conditions of which we were not aware.
We've confirmed that based on the information we received, our Standards Team reviewed your application together with your medical history and found that the treatment requested is linked to a pre-exisitng condition. The team have also provided feedback to your broker who queried this decision.
Unfortunately, the decision to withdraw your membership was made correctly in line with the Scheme Rules. Should you wish to query this further, you may contact our Standards Team directly.
Kind regards
Bruce
Thank you for your comment.
When a member joins the Scheme, we process the application according to the information disclosed on the application. Once your membership is activated and we receive a request for either in or out of hospital authorisation within a certain period of time our system will automatically pend the request. We will then request further clinical information from your provider. This process is necessary to ascertain whether there was any pre-existing conditions of which we were not aware.
We've confirmed that based on the information we received, our Standards Team reviewed your application together with your medical history and found that the treatment requested is linked to a pre-exisitng condition. The team have also provided feedback to your broker who queried this decision.
Unfortunately, the decision to withdraw your membership was made correctly in line with the Scheme Rules. Should you wish to query this further, you may contact our Standards Team directly.
Kind regards
Bruce