Disappointed by Plan Exclusions (Key Care plus )

I was recently admitted to the hospital, and I’m on the KeyCare Plus plan. During my stay, a case manager informed me that certain procedures, including Myringotomy, will no longer be covered under my plan starting from January 2024. She explained that these procedures are excluded from emergency coverage and are not covered as part of in-hospital PMBs (Prescribed Minimum Benefits).

I reached out to Discovery for assistance, as I hadn’t been aware of this change. I was shocked when the agent confirmed that I might have to endure this discomfort until I change my plan in January 2025, even if it risks my health. I’ve been with Discovery since my first job and have always been pleased with their service—they’ve consistently paid my claims without any issues. However, this experience has been deeply disappointing.

I still believe Discovery is one of the best providers, but I feel let down by this unexpected limitation. I hope to manage until January 2025 when I can upgrade my plan or consider other service providers. I wanted to share my experience to make others aware: please stay informed about plan changes. It’s difficult to face over two months of discomfort because of exclusions like this.Right now , I’m paying Discovery to pass time . I only used the medical aid twice this year. This is sad !