MS
Mike S

1 reviews | Active since Mar 2009

06 Feb 2019, 20:58

Discover Refusal to cover medication in full

Please think very carefully before you join this so called medical aid. I find their service severely lacking. They have no empathy for their clients and they do their utmost to not pay out chronic medication whether prescribed by doctor or specialist. The presume to know how to treat you better than your own physician. They wil refuse to cover all your medication despite the fact that it is on the PMB list with unreasonable excuse that they don't cover it because it is not on their list of MINIMUM benefits so they are in the nasty habit of only covering you for the absolute MINIMUM. They will refuse to pay for your medication when THEY decide whether you had "over your limit" (whatever that may mean). This despite the fact that you have stuck to exactly what medication your doctor prescribed for your most effective treatment. You will be penalized if you use "brand name" medication and not generic stuff and this will seriously impact on you self payment gap which is quite substantial to get through. You will also be penalized if your doctor prescribed "over the counter medication. I can go on and on about why its a bad idea to join Discovery health, but I guess you get the jest of my message by now. I am on the Classic comprehensive plan which their second most comprehensive plan they have, so its not a case where I expect a lot for little money NO I just expected the best service from the so called best medical aid in SA but I was surely mistaken now all I have is worries about why my highly expensive medical aid is refusing to cover me as they promised they would. I am sure there will be responded to my message with a generic template about how sorry they are and that they wil investigate. The call will come where they so caringly give me BS excused why they "cannot" cover my medication.

So in conclusion please be very careful when deciding on which medical aid to belong to Discovery might seem to be the best choice at a glance but in my own experience they are just out to take your money.

0
Replies (3)
Discovery Health
Discovery Health's reply07 Feb 2019, 09:17
Official
Dear  mikester 

Your concerns are important to us and we will be in touch soon with an answer to your comments.

Regards
Discovery Health Servicing Team 
Discovery Health
Discovery Health's reply11 Feb 2019, 12:08
Official
Dear  mikester 

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

Regards
Discovery Health Servicing Team 
MS
Mike S's update11 Feb 2019, 13:07
Reviewer Update
This is untrue nobody has contacted me at all. Giving false replies to make it seems as though the problem was sorted. None of my concerns were addressed at all. Not even close.