JN
Johan N

1 reviews | Active since Mar 2022

01 Mar 2025, 07:49

Discovery Medical Aid has now Become Discovery Wealth and fails delivering with service, care and support. Discovery has lost their medical care values.

A Medical Health Company stands for integrity, care and supporting people in their health, moments of needing live saving care.

So I have entrusted Discovery Health for years as a loyal member. The values and service and medical support that members "buy" and expect is no longer there. Today I will look at Bonitas Health. Discovery Health has become Discovery Wealth and I can not stand and entrust my health to that, no more.

I have found all the supporting Discovery documents that prove that Discovery has to pay my claim submitted. I will also fight using my rights and the support from the Council for Medical Schemes. And I will fight until my Ophthalmologist Claim is paid fully. Because I have diabetes and cancer and I have cover and I found the Discovery policies that states that and pays for that. That is the mistake that the claim processing staff makes. As they told me "We didnt know you have that when we reviewed your claim." Because you dont care and see and take time as we are all different people with different health that changes every day. And that is what so many members experience and have to fight for with Discovery.

I pay for medical coverage and support and when that is taken away and I have to prove my rights to get a claim paid back, then it is time to move on.

But now the time has come to change Medical Aid Companies for me. I no longer want to do the admin and provide Discovery entitlement and supporting documents. I will not be disrespected, disregarded and be humiliated when visiting Doctors by a company with a bad reputation within the medical insurance world.

I am not alone, and so many others will go and also move away.

Discovery Medical Aid Performance Rating 2025

Performance (Rolling 12 months): 1.5 Trustindex Rating by members : 2.7 Ranked In Medical Aid standing: #15

18,572 Total Reviews received.

1. 3,260 Reviews : Rating 2/5

2. 13,636 Reviews : Rating 1/5

(HelloPeter Customer Rewiew Data - 2025)

0
Replies (6)
Discovery Health
Discovery Health's reply03 Mar 2025, 07:01
Official
Dear Johan N 

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
JN
Johan N's update05 Mar 2025, 07:11
Reviewer Update
Diecovery called me. They acknowledge that I have the legal right to be refunded. However they are not willing to direct me with ICD Codes that Discovery will pay out. Discovery says it is between me and the Doctor to provide Discovery with the codes, regardless of the doctor having submitted claims twice. Discovery remains the party to not wanting to assist as they refuse justified payment in agreement with, but without providing ICD Code directives which by doing so benefits Discovery by not paying on technicality as a separate entity.

Read what I said, and you will see Discovery why I refer to Discovery Wealth and not Discovery Health.
Discovery Health
Discovery Health's reply05 Mar 2025, 10:19
Official
Dear Johan N 

We are busy investigating your query and will contact you soon.

Regards 
Discovery Health Servicing Team
JN
Johan N's update05 Mar 2025, 16:24
Reviewer Update
I have lodged an official complaint with the Council for Medical Schemes. I have two Doctors that will support me in this matter. Discovery Health was also sent an email today to support my right as a Diabetic registered patient.

Thank you to the Medical Practitioners who are standing with me.
JN
Johan N's update07 Mar 2025, 11:22
Reviewer Update
Today a friendly lady from Discovery contacted me. I re-submitted all of my legal medical and Discovery Supporting documentation to her. I provided the feedback from my medical doctor which outlines my legal and medical justified visit to him .

I was also able to provide the inline Discovery Eye Care Program for Diabetic patients to the lady.

https://www.discovery.co.za/corporate/new-dhms-benefit-helps-take-care-of-your-sight
Discovery Health
Discovery Health's reply20 Mar 2025, 16:44
Official
Dear Johan N 

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

Regards 
Discovery Health Servicing Team