KP
Keshree P

1 reviews | Active since Oct 2018

19 Oct 2018, 10:31

Discovery Medical Aid Does Not Care about Your Health, its their bottom line that counts most

I have been a member of the Discovery health medical scheme since 2010. This year when really needed the assistance and funding from the scheme, they have just ignored me, and my health problems. I have been off work since June 2018, after having a failed L5 S1 spinal surgery, in February 2018. I have been in constant pain after this operation that was done by Dr Tommy Mbuyane. I was admitted in hospital in June this year and had a second opinion from another neurosurgeon. The findings and recommendation was that the *****s and cage must be removed with other problems. Discovery declined the 2nd spinal surgery with no reason provided to me as per their external panel of doctors who reviewed the case. My doctor was advised that i can only be treated for pain. Another motivational letter was sent to Discovery for a Ganglion Rhizotomy, which was declined, saying it is not not covered under PMB. Another motivation letter was sent by my doctor for a spine Rhizotomy, and to date i have not received a response. I have tried to contact Lesego Setagisa, the case manager, reach out to Dr Ryan Noch the deputy CEO via Twitter, Donna Burger from the clinical review team, Monica Botha the CS manager, and no one has bothered to help me. In the interim since June, i have lost my job, been admitted every month in hospital for pain, and have not been able to live a normal life because of this pain i am constantly in pain. I have even followed their complaint procedure and still to date, i have not received help and a solution. Ignoring me does not make my pain disappear. Discovery falsely advertises that they care about one's wellbeing when they want you to join their scheme. Once you join, it is all about their profits. I desperately want my life back.

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Replies (3)
Discovery Health
Discovery Health's reply19 Oct 2018, 13:28
Official

Dear ***

We’re sorry to hear that you are dissatisfied. We’ll investigate your concerns and contact you again once we have completed the investigation.

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply23 Oct 2018, 14:59
Official

Dear ***

We have been in touch with you regarding your concerns. We will communicate with you further.

Kind regards
Discovery Health Servicing Team

KP
Keshree P's update28 Mar 2021, 20:37
Reviewer Update
Its 2021, and i am living with constant pain, out of a job, and living on pain medication every day of my life. I did not get my life back. How can you help me. Why wasn't this doctor sued for messing up my life. He made a mistake which damaged my nerves on the left side of my spine. Discovery life insurance and discovery health has all the evidence.