MM
Matmi M
1 reviews | Active since Aug 2020
08 May 2023, 19:29
Discovery medical aid
was given a treatment form to go to city hospital from my specialist to get admitted to a get a mri scan and treatment I waited 3 hrs just to be turned down because discovery says they don't cover treatment and investigation admission so what the **** are we paying almost 3000 rands for key care plus don't wast your time with discovery
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Replies (4)0
Replies (4)
Discovery Health's replyOfficial
09 May 2023, 06:46Dear Matmi M
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 reply09 May 2023, 06:46
Official
Dear Matmi M
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
MM
Matmi M's updateReviewer Update
10 May 2023, 17:36Thers seems to be some lose in translation this review was for me being turned down fir hospital admission not a a dam mammogram here what was said in a email Dear Mr Munsamy
Thank you for contacting Discovery Health.
Membership query
We have received your email with regard to membership queries. I have attempted calling you on *** ***6215, but I was unable to speak to you.
I am interested in resolving your query and had hoped to do so in speaking with you telephonically. I have opted to respond to your query via email.
Membership query
We have received your email with regard to funding for your Mammograms.
We are deeply sympathetic to the situation our members find themselves in considering the unprecedented global economic circumstances.
As a healthcare funder, Discovery Health has a responsibility to its members to provide access to top quality healthcare, while ensuring the long-term sustainability of the scheme.
We make decisions regarding the funding of medical procedures and services according to rigorous criteria to ensure that meet both these objectives.
Some of the ways we achieve this is in our plan and benefit design, the creation and application of funding policies and clinical protocols that are developed using a rigorous, evidence-based decision-making process.
This process also helps us make decisions about which procedures and treatment to exclude from cover.
Please accept our sincere apology for any inconvenience caused.
Have a great day and be safe in this unprecedented time.
MM
Matmi M's update10 May 2023, 17:36
Reviewer Update
Thers seems to be some lose in translation this review was for me being turned down fir hospital admission not a a dam mammogram here what was said in a email Dear Mr Munsamy
Thank you for contacting Discovery Health.
Membership query
We have received your email with regard to membership queries. I have attempted calling you on *** ***6215, but I was unable to speak to you.
I am interested in resolving your query and had hoped to do so in speaking with you telephonically. I have opted to respond to your query via email.
Membership query
We have received your email with regard to funding for your Mammograms.
We are deeply sympathetic to the situation our members find themselves in considering the unprecedented global economic circumstances.
As a healthcare funder, Discovery Health has a responsibility to its members to provide access to top quality healthcare, while ensuring the long-term sustainability of the scheme.
We make decisions regarding the funding of medical procedures and services according to rigorous criteria to ensure that meet both these objectives.
Some of the ways we achieve this is in our plan and benefit design, the creation and application of funding policies and clinical protocols that are developed using a rigorous, evidence-based decision-making process.
This process also helps us make decisions about which procedures and treatment to exclude from cover.
Please accept our sincere apology for any inconvenience caused.
Have a great day and be safe in this unprecedented time.
MM
Matmi M's updateReviewer Update
10 May 2023, 17:39They like to tell you some dam long **** stories how things work when u need treatment and get turned down and spend so much paying for a medical aid and allso travel so far and seven 400 for uber just to say go ****en home because we don't cover you
MM
Matmi M's update10 May 2023, 17:39
Reviewer Update
They like to tell you some dam long **** stories how things work when u need treatment and get turned down and spend so much paying for a medical aid and allso travel so far and seven 400 for uber just to say go ****en home because we don't cover you
Discovery Health's replyOfficial
11 May 2023, 14:52Dear Matmi M
We’ve responded to your complaint.
Regards
Discovery Health Servicing Team
Discovery Health's reply11 May 2023, 14:52
Official
Dear Matmi M
We’ve responded to your complaint.
Regards
Discovery Health Servicing Team