1 reviews | Active since Nov 2016
Discovery Health robs my 3 year old special needs child of his savings
If you are looking into changing medical aid plans to Discovery, write down the name of the person who advises you, the date and the time..Do not trust these rogues, not for a second. Question everything TWICE..I called Discovery on 09.12.19 at 15.25pm. I needed advice on the best plan for my family considering I have a 3 year old with Cerebral Palsy. I received the best information. Anything related to his CP would be covered under PMB. She looked up ICD10 codes and even confirmed that G80.2 was very much on the list of PMB conditions. I explained that my biggest cost at the time was physiotherapy. We spoke about the self payment gap. She advised that I may not even exceed my savings as physiotherapy will be paid from PMB. I asked about his botox needed every 6 months, about any orthotic/prosthetic devices..all covered. I asked about my Lupus. Was impressed to hear that my multivitamins will be paid from chronic. I was blown away to hear that my unused savings would be carried over to the new year. I thought to myself, this Classic Priority plan is abit steep but what the heck, they cover everything. I don't need to stress anymore. I can just concentrate on making my child as comfortable as I can. I really could not afford stress anyways. I have SLE and stress flares up my Lupus so bad. I immediately called my husband and told him to sign us up on Discovery from 1 Jan 2020. Megan Abdool gave me all the information required to make this decision. And then the drama started. It was all blatant lies. Physiotherapy was paid from savings. All 3 sessions a week. Obviously, savings was depleted within a few months. I frantically enquired. The executive relationship manager was just so efficient. He heard my cries. He obtained the transcripts. He confirmed that I was misinformed, on soooo many levels. How many other people are lured into signing in this way? We sit here thinking that pyramid schemes are ****s out there to rob us. Here we have a giant in the medical aid industry, supposedly the best of them all, blindly robbing my 3 year old of his savings? So their staff are not trained well enough to advise you correctly and clients must bear the brunt of that? Where is the justice?Luckily all calls are recorded. I sought legal advise and was told that I have a good case. However, I should follow procedure first. By now savings were completed exhausted. The physiotherapy bill was on 10k. I ran out of excuses for the physiothe******. I had no choice but to stop physio completely. I knew this would ruin every bit of improvement that my little boy made in the year but what else could I do? How do I pay this 10k premium and then another 5k for physio? What do I then then feed my other child? I lodged a dispute on 16 October. Still no feedback. And by the way, there is no number that you can call. ***ards won't talk to you. They hide behind emails only. I keep asking for a call but got none. What can they tell me? Sorry mam, our consultant fed you bull#$*** these things happen. Your son has gone back to square one and all improvement flushed down the drain because of Discovery but such is life..Please build a bridge and get over it!!!!Never!!!My premium is almost 10k pm. I wanted the best for my child and I will certainly get that. The least you scavengers can do is give me feedback on my dispute. How long does it take to read the damn transcripts, admit that I was wronged, on so many levels, admit that I was lured into signing, **********ly misinformed..and as a consumer, my right is to get what I was promised. Even if the results are unfavourable, JUST DAMN HELL REPLY..So that I can take this up with the Ombudsman. Don't keep me hanging. My son is paying each day that you delay. On 25 Nov I got this...'Due to ongoing developments in the country, there is regrettably a backlog within the dispute team. This has regrettably affected the turn around time for the dispute investigations. The Dispute team will endeavour to respond to the matter before close of business today.'.....which time zone does Discovery operate in because here in SA..25 Nov was 8 workings day ago. And just for the record, I give a damn of how your turn around time has been affected. Delay on your end has caused me to stop my child's physiotherapy and his condition has deteriorated since. So don't make your problem my problem please. Give me feedback and let me take this matter to the highest level possible and just for the future..DON'T EVER MESS WITH A MOTHER OF A SPECIAL NEEDS CHILD BECAUSE YOU ARE PLAYING WITH RAGING FIRE!!!!
