Complaint

I am not pleased with Discovery, I pay close to R2000 (i am the only one covered on the plan) and the plan that i took clearly states that i am fully covered incase of any emergencies if i go to any private hospital (classic smart plan). I took the cover because i know I don’t get sick often but at least i will be covered in an emergency.

I was involved in a car accident and I couldn’t even move it took 4 people to get me out of my car to the ambulance. They took me to the nearest private hospital to run some tests and check if my spine is ok. l spend over 5hours at that hospital as they were running tests. I was discharged that night and given a prescription. Doctor said my spine is ok and the injuries i had will heal in due time.

The hospital claimed from my medical aid (Discovery) but it got rejected by Discovery. I have been following up with them for weeks now asking why they dont want to pay my medical bill and they said i was not admitted for the night, i got treated at casualty so to Discovery that was not an emergency! I asked the discovery consultant to tell me what is it that i should have done after the accident, walk home and sleep it off? She couldn’t answer because she knew that i had to get medical attention ASAP.

This is is unfair as because now i have to pay close to R7 000 whilst im paying Discovery so much money every month. To Discovery a car accident is not an emergency i even sent them pictures of the accident to show them how severe the accident was but still they refuse to pay. My company is forcing me to take Discovery medical aid and i can’t choose any other medical aid besides Discovery. If it was up to me i was going to cancel my medical aid and take it with a different company that is competent and even affordable.

I am still fighting with Discovery to pay my medical bill, this is draining taking into consideration that i pay so much fo medical aid and i dont even have the funds to pay the hospital bills. I fear I might even be blacklisted just because of Discovery.