PE
Paul E

1 reviews | Active since Mar 2010

02 Feb 2022, 13:07

Chronic benefit not paid

I have been on some chronic medication for almost 20 years. Over the years additional chronic conditions needed additional chronic medications. Most of these were added to the chronic medication benefit. During 2021 I queried why some of the medication was not on chronic benefit. I was informed that the plan I was on did not cover those medications and if I upgraded to a better plan it would be covered. So in November 2021 I changed to a better plan which then started in January. When I went to get my chronic medication at the end of January 2022, suddenly NONE of my medication was paid from my chronic benefit. When phoning the medical aid they said I have to send a new script that listed everything as chronic. I NEVER had to do that! Then they changed their story to that DisChem had to indicate that the medication was chronic! How can a chemist dicatate to a medical aid that medication must be on a chronic benefit? That is rediculous! But rhis just shows the incomperence of the people working for Discovery!

0
Replies (3)
Discovery Health
Discovery Health's reply02 Feb 2022, 14:02
Official
Dear Paul E

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

PE
Paul E's update03 Feb 2022, 16:08
Reviewer Update
Discovery phoned me and I let my daughter speak to them as I wear hearing aids and cannot hear very well over a phone.
Their excuse is that because I upgraded to a better plan EVERYTHING that was in place with my previous plan is lost or became null and void and I have to let the doctor(s) re-evaluate my chronic conditions and submit new recommendations as to why I need to be on the chronic medications that I have been on for some of those for the past 20 years or so!
It is like they think that because I am now on a better plan, my chronic conditions changed or were resolved miraculously!
This is the umpteenth time that we have to deal with the utter uselessness of the *****s working at Discovery Health.
If this is not resolved within the next week they leave me no choice but to call in the medical ombudsman to look into the conniving dealings of this medical aid.

Discovery Health
Discovery Health's reply04 Feb 2022, 13:33
Official
Dear Paul E We have been in touch with you to answer your comments. Regards
Discovery Health Servicing Team