AB
Angie B

1 reviews | Active since Jan 2023

20 Jan 2023, 13:10

Discovery Essential Saver not adequate or cost effective !

Essential Smart plan is waste of money This plan makes no sense to me! Firstly you have to make use of their network providers however when you do (in case; I have used the optometrist and dentist on their network). On both ocassions I have made use of the 1 appointment benefit, paid the co-payments and where applicable the admin fee. The optometrist did a thorough exam gave me my results ( I need glasses) but Medical aid will not pay or contribute a cent towards glasses even basic frames. At the Dentist I went for severe toothache, the problem was identified (a leaking filling) then that was where it ended and Discovery will not cover for this. Why does this plan payout probably thousands of rands they take from membership fees to go to their network providers only to be informed you need glasses or a filling and that is where it ends and you go home with no solution or any treatment for your ailment. in the case of the dentist I paid the co-payment and an admin fee and yet still sitting with toothache. I can only visit dentist once a year and its pointless if this dentist is not going to fix my ailment. Then you are encouraged to take Gap cover for shortfalls on this Medical aid plan...but, Gap covers only pay the shortfalls of what the medical aid pays to providers, so Gap cover will not help in this situation. Is this plan not pointless waste of money and everyone's time, why pay membership fees for medical providers to tell you for example you need glasses or a filling and thats all the Medical aid allows, not even a basic limit on this. Where do we go now with the outcome for the required medical service...Government Hospitals ? I can honestly say this is not the fisrt time I have been on Discovery Medical aid (First plan was one of the top plans) now years later for affordability I moved back to Dicsovery and still after all these years, regardless of plan types, I still find this medical aid one of the worst with pointless ''benefits''.

0
Replies (5)
Discovery Health
Discovery Health's reply20 Jan 2023, 14:37
Official
Dear Angie B

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


AB
Angie B's update20 Jan 2023, 15:58
Reviewer Update
Thank you I eagerly await your response.

Discovery Health
Discovery Health's reply24 Jan 2023, 15:53
Official
Good day
Please check your emails for feedback from us. Regards
Discovery Health Servicing Team

AB
Angie B's update25 Jan 2023, 08:09
Reviewer Update
Thank you. You sent me my manager information and portal details. That does not bring a resolution or explanation as to why you pay a network dentist or optometrist to just check up and in my case say I need my one filling filled but you will not cover that small dental procedure which will cost R800. Again what is the point of using membership fees to pay a dentist or optometrist appointment but will not cover a small medical care repair??? Why do your dentist NOT attend to small issues at the first and only appointment annually this plans allows? Is It not counterproductive and waste of fees /money from the medical aid side that could be better utilized when discovery members need hospital care?? I still do not quite understand the concept of the medical aid paying out thousands to network dentists and optometrists just for a check up, no problems solved or small medical assistance provided for at the first and only appointments for the year.
It would be much better for people on this plan to rather go see a service provider of your own choice in personal capacity and pay for that appointment and minor treatment than make use of your network providers, pay co-payments and admin fees but receive NO minor ailment treatment. The fact that this network dentist DID not inform me BEFORE appointment that no treatment will be done, is in my opinion the Medical aid's problem, not the member to be penalized.
IT is extremely important for members on this plan to remember that should medical aid not pay the medical service provider, your gap cover plans will not be able to cover any shortfalls either.

Then regarding my access and portal; I cannot access or create a personal login as Discovery still has my ID number attached in your portal while I worked with Medical aids (years back) and over all the years that I have not been in that Industry never cleared my details from your portal! Now to access or create a new login in personal capacity, I am told to call in and sit with your Website and sort this out! I work and cannot attend to these personal matters from work. Why did you never remove my details so that years later I can create a membership login to access information like Network doctors etc etc. Never did I give permission for Discovery to keep my personal details; ID number etc on your portals.
Discovery Health
Discovery Health's reply31 Jan 2023, 16:57
Official
Good day 
Please check your emails for feedback from us. Regards
Discovery Health Servicing Team