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Ndivhuwo M

1 reviews | Active since Sept 2017

07 Oct 2022, 09:38

Bad treatment from Discovery health

I have been calling Discovery medical aid for the past 3 days regarding the specialist visit, they decline the first request and they are giving the reason to say because I was not transfered by my primary doctor, the consultant told me to go to consult with the primary doctor so that he do the authorisation request from his side, I went to my primary doctor and he did as per request, and he give me the refferal letter to go to specialist, he told me that he has done his part and if Discovery give me the feedback that I don't understand I must call discovery not him because he will not have answers for me, now am receiving the email saying the authorisation from my primary doctor is also decline and I must call my doctor for more information, my doctor already told me that he don't have answer for the outcome that I will receive from discovery. It is so painful because I need help. I have been with Discovery for the past 10years, and I never claim for any specialist visit this is my first time, and the discovery consultant told me that he can see that even my specialist benefits are still in full for the year since I never use, and the other consultant told me that if my primary doctor will be the one to request for authorisation there won't be a problem. It is painful because now I don't know who to go to, thinking that I have been with Discovery for more than 10years this is the treatment that they are giving me, the consultant did tell me how much do I have for specialists, where is the money going since am sick and they are refusing to pay. When they take monthly payment they don't hesitate but when the patient is sick they have excuse to pay. I spent money to call them for three days with no help. Now I don't know were to go because my doctor says he won't have answers for the discovery's feedback, and discovery is saying I must call my doctor. Who to go to and why am I having the medical aid with them. Am forfeiting specialist benefits every year for the past 10years, but only today when the need arise for specialist discovery is refusing to pay, my specialist benefits that was explained to me is for them not mine, what am I paying for? And that is their thank you to customer. Am now stressed don't know were to get help.

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Replies (3)
Discovery Health
Discovery Health's reply07 Oct 2022, 10:43
Official
Dear Ndivhuwo M

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
NM
Ndivhuwo M's update10 Oct 2022, 08:45
Reviewer Update
I have been waiting for authorisation, It is painful to be part of this medical aid scheme, it really tells that you can not be poor and join this medical aid scheme, you will die while they are busy ignoring you, am still heart brocken looking at the 10years that I contributed to their scheme without any specialist claim, today is their thank you to me, unfortunately I can not afford to go and pay cash in order to get helped by gynecologist, I already contributed to discovery for this month, if I knew that I will get sick and discovery will refuse to pay, I was not going to pay my monthly contribution instead I was going to use it to pay specialist to save my life, now I can not, the little that I earn monthly am sharing with discovery for them to help me when the need arise , the benefits that I didn't use that the consultant told me about were is it going? Why are they refusing to pay from it? it has to benefit discovery because is towards end of the year they don't want to pay claims, they want to wait for January so that if one claim in January they know that we will run out of benefits while is still early? So when they say they are investigating, they mean I must be dying so that they go away with my benefits. Why don't they give me my money to go and consult since I didn't use my specialist benefits? The primary doctor said he did his part of requesting authorisation and gave me the refferal letter, he said he don't have answers for the outcome from Discovery, discovery is telling me to call my doctor, gynecologist that I was referred to want the authorisation number from Discovery, I am sick on the other side and am not been attended to, discovery is refusing to pay. But they are taking my monthly contribution off which for this whole year I only visited GP 3 times but they don't want to pay my specialist visit. Where do I get help now., what am I paying discovery for?
Discovery Health
Discovery Health's reply10 Oct 2022, 13:29
Official
Dear Ndivhuwo M

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

Regards
Discovery Health Servicing Team