ML
Mick L

1 reviews | Active since Jul 2010

09 Sept 2019, 15:00

Discovery. Mad bureaucracy

Recently, I was in hospital after an epileptic seizure. The hospital was great (Flora) and Discovery were also great. Before I left I was given a prescription for anti epilepsy meds by a Neurologist that treated me. After I left hospital I wanted to get the epilepsy meds added to my chronic meds list so, I filled in the forms and got my G.P. to sign them. Discovery turned my application down as it was not signed by a specialist. I queried this and just got quoted what was on the refusal letter. I got to speak to a more senior person. Sihle, who quoted at me from the same document. I pointed out that epilepsy was a pre-existing condition and was declared on my joining scheme. I was told "yes, but you haven't app**** for it to be registered on OUR chronic benefits list before". I asked if I could appeal this decision? I was told "no because you haven't been refused yet" ????? I said that going to a specialist will take up to six weeks to get an appointment and I may have to pay a R1000 cash to see the Doctor. I was told the cost will be refunded from one of my benefits, if approved. If not, I will loose the R1000. Bureaucracy gone mad. The conversation with Sihle was becoming a bit heated and I asked if she was happy with her answers. She said yes. It was a an attitude of take it or leave it. Sad that Discovery that I had held in such high esteem should let itself down like this. And finally, on the chronic application form, nowhere does it say that the form must be signed by a specialist physician or neurologist. It just says "your doctor"

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Replies (1)
Discovery Health
Discovery Health's reply10 Sept 2019, 07:17
Official
Dear Mick

Your concerns are important to us. We will contact you soon to answer your comments.

Kind regards
Discovery Health Servicing Team