AS
Alida S
1 reviews | Active since Jul 2012
25 Feb 2021, 22:28
Discovery Health - Premiums of R13 000p/m buys you co-payments of R9 000 for Pre-cancerous Biopsy.
I have called their call center to get authorization for a biopsy for possible precancerous cells. I have to pay R9 000 in after paying R13 000 a month.
According to the PMB it should be covered but they insist that I have to pay for it and then if I am the lucky winner of cancer they will waive it. So they don't want to make sure it gets caught beforehand, their modus operandi is to only cover it after it is complete cancer and then they will pay millions for chemo and procedures.
I will not recommend Discovery Health, we have been members for 15 years and this is what loyalty buys you for R13 000p/m.
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Replies (3)
Discovery Health's replyOfficial
26 Feb 2021, 07:15Dear Alida
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
Discovery Health's reply26 Feb 2021, 07:15
Official
Dear Alida
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
AS
Alida S's updateReviewer Update
26 Feb 2021, 09:49Discovery,
Please in future get a mature and qualified person who can handle conflict to call triggered and angry clients/members. His nonchalant attitude triggered me even more. Saying 1 swear word had the little boy in a frenzy and uttering words like he will not be abused....Oh my word!!!!!!!!! And he threw the phone down in my ear. I'm sure he would need to go home now to cry over the "abuse" of one swear word.
Extremely professional conflict management skills Discovery employees have. It's a disgrace!
Basically nothing is resolved your go to comment: It's a deductible on your R13 000 p/m plan. Get the cancer and we will review...Geez thanks for rather wishing that on me. Plus as a possibility: My Dr, needs to phone your Doctor and explain that I'm high risk because my mother passed away from cancer at 49 and my own son was diagnosed at age 21. They are not willing to speak to me, the member, paying for 15 + years, no the Specialist must take time out of their packed schedule (Which is impossible) and do a favor to one measly patient, whereas I am your paying client and we get brushed off like flees on ***s.
I have never been so disgusted in a company as with you. Reading all the complaints here it seems to be the same outcome everywhere...triggering the member even more and being ****y, rude and arrogant instead of trying to neutralize the situation but if the member returns the same behaviour, they cry abuse. Most ridiculous thing I've ever heard! Please use all the money you take from your members for all the "deductubles" (lining your own pockets at the cost of your members) and send your staff for conflict management skills, you are losing the battle here and you will be losing my R20 000 p/m business. I will be cancelling my medical aid and my insurance with Discovery. It is clear that you are a financial institution and not a medical aid. It's not about finding the best solution for your members, it's about money and money only.
Please in future get a mature and qualified person who can handle conflict to call triggered and angry clients/members. His nonchalant attitude triggered me even more. Saying 1 swear word had the little boy in a frenzy and uttering words like he will not be abused....Oh my word!!!!!!!!! And he threw the phone down in my ear. I'm sure he would need to go home now to cry over the "abuse" of one swear word.
Extremely professional conflict management skills Discovery employees have. It's a disgrace!
Basically nothing is resolved your go to comment: It's a deductible on your R13 000 p/m plan. Get the cancer and we will review...Geez thanks for rather wishing that on me. Plus as a possibility: My Dr, needs to phone your Doctor and explain that I'm high risk because my mother passed away from cancer at 49 and my own son was diagnosed at age 21. They are not willing to speak to me, the member, paying for 15 + years, no the Specialist must take time out of their packed schedule (Which is impossible) and do a favor to one measly patient, whereas I am your paying client and we get brushed off like flees on ***s.
I have never been so disgusted in a company as with you. Reading all the complaints here it seems to be the same outcome everywhere...triggering the member even more and being ****y, rude and arrogant instead of trying to neutralize the situation but if the member returns the same behaviour, they cry abuse. Most ridiculous thing I've ever heard! Please use all the money you take from your members for all the "deductubles" (lining your own pockets at the cost of your members) and send your staff for conflict management skills, you are losing the battle here and you will be losing my R20 000 p/m business. I will be cancelling my medical aid and my insurance with Discovery. It is clear that you are a financial institution and not a medical aid. It's not about finding the best solution for your members, it's about money and money only.
AS
Alida S's update26 Feb 2021, 09:49
Reviewer Update
Discovery,
Please in future get a mature and qualified person who can handle conflict to call triggered and angry clients/members. His nonchalant attitude triggered me even more. Saying 1 swear word had the little boy in a frenzy and uttering words like he will not be abused....Oh my word!!!!!!!!! And he threw the phone down in my ear. I'm sure he would need to go home now to cry over the "abuse" of one swear word.
Extremely professional conflict management skills Discovery employees have. It's a disgrace!
Basically nothing is resolved your go to comment: It's a deductible on your R13 000 p/m plan. Get the cancer and we will review...Geez thanks for rather wishing that on me. Plus as a possibility: My Dr, needs to phone your Doctor and explain that I'm high risk because my mother passed away from cancer at 49 and my own son was diagnosed at age 21. They are not willing to speak to me, the member, paying for 15 + years, no the Specialist must take time out of their packed schedule (Which is impossible) and do a favor to one measly patient, whereas I am your paying client and we get brushed off like flees on ***s.
I have never been so disgusted in a company as with you. Reading all the complaints here it seems to be the same outcome everywhere...triggering the member even more and being ****y, rude and arrogant instead of trying to neutralize the situation but if the member returns the same behaviour, they cry abuse. Most ridiculous thing I've ever heard! Please use all the money you take from your members for all the "deductubles" (lining your own pockets at the cost of your members) and send your staff for conflict management skills, you are losing the battle here and you will be losing my R20 000 p/m business. I will be cancelling my medical aid and my insurance with Discovery. It is clear that you are a financial institution and not a medical aid. It's not about finding the best solution for your members, it's about money and money only.
Please in future get a mature and qualified person who can handle conflict to call triggered and angry clients/members. His nonchalant attitude triggered me even more. Saying 1 swear word had the little boy in a frenzy and uttering words like he will not be abused....Oh my word!!!!!!!!! And he threw the phone down in my ear. I'm sure he would need to go home now to cry over the "abuse" of one swear word.
Extremely professional conflict management skills Discovery employees have. It's a disgrace!
Basically nothing is resolved your go to comment: It's a deductible on your R13 000 p/m plan. Get the cancer and we will review...Geez thanks for rather wishing that on me. Plus as a possibility: My Dr, needs to phone your Doctor and explain that I'm high risk because my mother passed away from cancer at 49 and my own son was diagnosed at age 21. They are not willing to speak to me, the member, paying for 15 + years, no the Specialist must take time out of their packed schedule (Which is impossible) and do a favor to one measly patient, whereas I am your paying client and we get brushed off like flees on ***s.
I have never been so disgusted in a company as with you. Reading all the complaints here it seems to be the same outcome everywhere...triggering the member even more and being ****y, rude and arrogant instead of trying to neutralize the situation but if the member returns the same behaviour, they cry abuse. Most ridiculous thing I've ever heard! Please use all the money you take from your members for all the "deductubles" (lining your own pockets at the cost of your members) and send your staff for conflict management skills, you are losing the battle here and you will be losing my R20 000 p/m business. I will be cancelling my medical aid and my insurance with Discovery. It is clear that you are a financial institution and not a medical aid. It's not about finding the best solution for your members, it's about money and money only.
AS
Alida S's updateReviewer Update
26 Feb 2021, 09:59*Typo: " ****y" should be "VERY"
AS
Alida S's update26 Feb 2021, 09:59
Reviewer Update
*Typo: " ****y" should be "VERY"