AK
Angelique K

1 reviews | Active since Apr 2019

26 Apr 2019, 12:32

Discovery Medical Aid is A JOKE

If you are thinking of using Discovery Health for medical aid - do yourself a favour and don't! They are awful and I have had the worst experience with them from the date of joining. My baby was born 10 weeks early and they processed every bill for her through our MSA - despite us registering her the day after she was born and her being in the NICU for over 2 months. We had to fight with them for months to get them to reprocess every claim. I then tried to use the maternity benefits they claim you get - it took them 6 months to give me the correct ICD codes to claim from that benefit - again used my MSA. I had to have a vacuum-assisted breast biopsy for a suspicious lump in my breast that the radiographer could not rule out as dangerous without the biopsy - so what does Discovery do they take it from my MSA - wiping my whole families MSA out for the rest of the year WITHOUT INFORMING ME, because they have decided I do not meet their risk criteria - how is a lump in a breast that cannot be ruled out as cancerous NOT A RISK to me? Your service has been useless and pathetic and I regret leaving Fedhealth for your **** service.

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Replies (3)
Discovery Health
Discovery Health's reply26 Apr 2019, 13:28
Official
 
Dear AngeliqueKlaw 

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 reply30 Apr 2019, 14:51
Official
 
Dear AngeliqueKlaw 

We have been in touch with you to answer your comments.
 
Regards
Discovery Health Servicing Team 
AK
Angelique K's update14 May 2019, 10:40
Reviewer Update
Please may I request that someone call and explain to me why I do not meet the risk criteria you have used to evaluate this case, as a paying medical aid member it is my right to know this information? I would like to understand how a lump in my breast that cannot be diagnosed using a mammogram or ultrasound (both of which were done twice) is not a risk to my health and well-being, despite the very obvious fact that it could have been a cancerous lump, I do not see how that is not considered a risk - I had been having it checked and looked at multiple times over a 7 month period - the lump did not decrease in size, for 7 months it was scanned and checked to try and determine exactly what it was before a biopsy was decided on. The decision to use my MSA tells me that Discovery does not care at all about my health - it's about money and profit, because I am not older and no-one in my family besides my grandmother and great grandmother have died from cancer yet I am not considered enough of a risk for you to pay for something that should be a minimum standard of care. In addition, the call centre agent dealing with Milpark Hospital, who attempted to get this procedure authorised, never once communicated with me or my husband - the people actually paying for the medical aid to tell us this was not authorised from risk and would be coming from my MSA. I want the name of the person who did that and I want there to be consequences, it is entirely unacceptable that my medical aid does not inform me of decisions they have made that will impact my entire families health for the rest of the year BEFORE I have a procedure done. I am absolutely disgusted with Discovery and wish I had never moved from Fedhealth for the total lack of concern or service I have received from this for profit organisation.