Discovery Health rejects all my medical claims.

Discovery health seems to be a **** of lately. I took a medical aid cover in March, 2018 and there was a certain condition they said they're not covering, I agreed. In April I went to consult a GP, and my illness had nothing to do with that "condition" they're not covering. The GP claimed, and Discovery refused to settle the claim. I called Discovery to query that, and explained to the consultant that my reason to consult was not to do with that clause of theirs ("condition-specific waiting period for this dependent"), he told me to hold the line for him while he speaks to someone, I held for a while, he came back to the line and apologized and said they will resubmit that claim and someone will call me back.

Till today, no one has called, and the claim still not paid, it still has a rejected status. I have paid that bill myself because I cannot owe the GP for a long time, especially since I stand to be blacklisted. Again, I went to consult yesterday, 16 Jul 2018. I just received an sms from the GP asking me to settle the account. That means I must pay another R490 to the GP. That's almost a thousand.

I pay discovery almost R5000 every month, without failure. I took that medical aid because my family and I need it, but whenever I NEED it, they DO NOT HELP. Where the hell must I get R1000 to pay the practitioner when I have paid R5000 to discovery? Am I some sort of a money making machine?

I am not pregnant, I gave birth in March. When I consulted in April, it had nothing to do with pregnancy. When I consulted yesterday, it had nothing to do with pregnancy. I have been referred to a specialist for some investigation, but how must I go if I know they will not be paid? I did not know that the "condition specific waiting period" would mean that I MUST NEVER FALL ILL for a period of a year. I would NEVER HAVE TAKEN THE COVER could they have explained that to me. This is, in anyway, a 3rd medical claim.

I want to be reimbursed all this money, and I am canceling the medical aid. I will look for a medical aid company that will not reject all my claims while they enjoy my premiums.