1 reviews | Active since Aug 2017
Discivery ****
🚨 Urgent: Discovery Medical Aid **** 🚨
Good morning everyone,
Just for background, I pay R9000 a month for a JOKE of a medical aid scheme.
I’m here to expose a shocking and disgraceful experience with Discovery Medical Aid. They have left me in a dire financial situation following my surgery at Morningside Mediclinic on 9 May 2024 for a Septoplasty which was urgently needed to breathe.
🔹 **The ******: Discovery initially authorized my surgery (Authorization No. ***3) but had the audacity to revoke it *after* the procedure, sticking me with an enormous bill. This is nothing short of a betrayal.
🔹 **The Lies**: Before the surgery, I called Discovery to confirm if I needed to submit my doctor's motivation. The representative explicitly told me, "No, tear it up, as long as it is for functional reasons, it doesn't matter." Based on this false assurance, I went ahead without submitting additional documentation. Discovery, I look forward to pulling those phone call records.
🔹 **The Deception**: Discovery's decision-making process is nothing but a sham. They frequently misalign reimbur*****ts with actual medical costs, leaving members to suffer. Not a single medical professional from Discovery has examined me, reviewed my scans, or has relevant training in functional nasal surgery. Their decision is arbitrary, unjust, and baseless.
🔹 **My Demands**: 1. A detailed explanation for the post-surgery revocation. 2. The specific criteria and information reviewed for this decision. 3. Confirmation that a specialist with relevant expertise reviewed my case. 4. An immediate review of my condition by a healthcare professional in consultation with Dr. Chris Snijman. 5. A proposed breakdown of the reimbur*****t owed to me, despite me your disgusting idea of what you find acceptable to be paid to me of a whole 19k of 65k to Dr Snijman and a shocking JOKE of R16k of R25k for the dr that put me under. Which REPUTABLE doctor or ENT would also fall within your costs guideline ?? Discovery short changed me here too by paying me a whopping 9k of R19k that this dr charged me as well.
🔹 **Next Steps**: Discovery, you have 14 days to resolve this. Failure to do so will result in escalation to regulatory bodies and legal action. Your exploitation of your members ends here.
Stand with me against Discovery's malpractice and ensure they are held accountable.
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
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
We have been in touch with you to answer your comments.
We understand that this is not the desired feedback that you were hoping for; however, the feedback we have provided explains the Scheme's position.
Regards
Discovery Health Servicing Team
We have been in touch with you to answer your comments.
We understand that this is not the desired feedback that you were hoping for; however, the feedback we have provided explains the Scheme's position.
Regards
Discovery Health Servicing Team
