VO
Verena O

1 reviews | Active since Dec 2015

22 Oct 2020, 12:01

Bad Service for Chronic Patient

I am a Discovery Medical aid member for almost 2 years now and never have I been so unhappy about a claim made. I saw my GP last year, was sent for tests, only to find out I am insulin resistant, app**** for chronic meds, it was declined by medical aid, left it there. Now this year in Sept I went back to my GP, sent for tests, only to find out that I am now Diabetic type 2 and Hypertensive. Chronic medication was app**** for and was approved, but only to find out thst the GP visit and tests should be paid from the Chronic Illness Benefit and not from my Medical Savings. I called in to have this reviewed, only to find out that my GP's secretary completed the forms incorrectly, so this was rectified and a motivational letter was also attached from my GP, stating the diagnosis was only done now in Sept 2020, still they are declining to pay from the Chronic Illness benefit, now my question is, why do you offer to pay for GP visit and tests for NEW CHRONIC condition and when requested by client, it isnt granted? I am so frustrated and upset with Discovery, I have no words....

0
Replies (3)
Discovery Health
Discovery Health's reply22 Oct 2020, 13:08
Official
Dear Verena

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 reply22 Oct 2020, 15:26
Official
Dear Verena

Please check your emails for final feedback from us. We have sent a response to the email address we have listed on your membership for you.

Regards 
Discovery Health Servicing Team
VO
Verena O's update22 Oct 2020, 15:56
Reviewer Update
I have read your response, but I am not happy with the explanation provided. I am very unhappy and I suppose there is nothing that can be done about this, thus I will be searching for a new medical aid for 2021. Your medical aid is so strict on documentation as proof and even with this was provided, you still make incorrect decisions. I am not happy with the decision made, because I was diagnosed only this year, but you cant see reason. So thank you for leaving a bad taste in my mouth.