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jacky B

1 reviews | Active since Sept 2017

27 Sept 2017, 17:11

discovery medical aid does not pay claims.....

discovery is looking for reasons not to assist. when the kitchen gets hot - they run!!! we moved from Bestmed (GREAT MEDICAL AID) to discovery key care plus effective 01/09/2017 - the call centre adviser told us - no waiting periods, and if your son gets ill or something happens, we can get treatment. one the 05/09/2017 my son got sick, bronchitis - discovery assisted us.. and he was not admitted, he was fine. he is 3 months old - children gets sick.. on the 15/09/2017 my son got very sick - and we rushed him back to hospital, and 3 dr's said he must be admitted... guess what -- the kitchen got hot.. and they runned. discovery said we can admit him on a pending authorization - the hospital said no, they wont accept it as there is a possibility discovery wont pay. at 17:00 we phoned again, and JP told us that there should be no problem with babies, and babies must be admitted immediately and they will phone us back - at 19:00 we phoned again just to be told the review department is closed. Anke from Discovery also advised us there is no waiting periods, and cannot understand why discovery is full of this nonsense, and babies must be admitted.. on the 21/09/2017 we got notifaction that our policy is canceled for non-disclosure as our child had gastro 05/09/2017 - i gave them proof from the hospital to confirm its not gastro but bronchitis... now all of the sudden they changed their story and this is what i was told.

So not only when you have been diagnosed with a condition, but also if you have any symptoms of it whatsoever at the time of the application. Below they say that you were aware your child was sick at the time of the application. i have sent this to ********** as this is absolutely nonsense... so NO CHILD CAN GET SICK --- EVER!!!!! I WANT THIS NON-DISCLOSURE OFF MY NAME NOW..... then we call it quits.. and we don't have a relationship...

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Replies (2)
Discovery Health
Discovery Health's reply28 Sept 2017, 09:43
Official

Dear pemacarter

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
Discovery Health's reply29 Sept 2017, 14:13
Official

Dear pemacarter

We have been in touch with you to answer your comments.

Regards
Discovery Health Servicing Team