SB
Sameerah B

1 reviews | Active since Jan 2014

28 Jul 2023, 10:55

Discovery medical aid is the worst!

I have been utterly disappointed and actually DISGUSTED with the services of Discovery Health. I joined the medical aid in 2019 & had never really had issues with the scheme. I was on the Delta Savings Plan. On 20 June 2020, I was diagnosed with COVID-19. Prior to testing, I called Discovery on 19 June 2020 because I was advised that I would need authorization from my medial aid prior to testing & that FURTHER – I WOULD BE REIMBURSED/COULD CLAIM BACK THE AMOUNT I PAID FOR THE COVID TEST. ****This call was recorded!**** The lady that I spoke to advised me that I SHOULD I TEST POSITIVE – I WILL BE REIMBURSED. After I received my results I called discovery. My results were furnished to me on a Sunday so I called them on Monday – the next day. There was no answer & nobody to assist so I complained on twitter whereafter I received a direct message from someone at Discovery who was willing to assist me & immediately called me back. I was asked to send through my results (the pathology report) – which I did. After I HAD TO FOLLOW UP (two weeks later) I received an email authorizing me for a blanket of cover for Covid. I was relieved to have received this because I was worsening & my chest had become severely impacted. I required more doctor consultations & had to purchase, amongst other things, an asthma pump & nebulizing machine with medication. At this point I was already notified of my retrenchment from my employer. I continuously called Discovery & sent through emails attaching my COVID-19 testing slip which reflected the amount that I had paid for the test as well as my invoices from my GP. I was told TELEPHONICALLY that these would be paid for. These calls im sure were recorded. However NOT ONCE did discovery get back to me. I told them that I am left with no choice but to cancel my medical aid because they were REFUSING to assist me – what on EARTH WAS I PAYING R2000 a month for. At the same time my mum & grandfather were diagnosed with COVID & I watched in awe as their medical aids CONSTANTLY assisted them & always reimbursed them etc where needed (GEMS & BONCAP). What SHOCKED me further was that this is the time when the medical fraternity needed to play their biggest role & DISCOVERY’s service was BEYOND PATHETIC. I purposely skipped payments as I had no intention to pay for a medical aid that could not even cover a doctor’s appointment in the amount of R450. Shortly after this I received an email stating that I owe the scheme an amount of R1800 (estimated – do not know the exact figure). I REFUSE to pay this and will not & further I will be reporting them to the relevant Ombudsman. I have also advised friends & family of this who have now cancelled their membership with the scheme & have moved over to Bonita’s who in my opinion is the best medical aid. I have a VERY LARGE social media following & will speak out about the pathetic & useless service received by discovery who can take R2000 a month & not even pay for one consult or covid test. I reiterate further that I will NOT BE PAYING THE AMOUNT OUTSTANDING & I WILL BE REPORTING & TARNISHING THE NAME OF DISCOVERY.

Discovery keeps calling me for the money but I WILL NOT BE paying it.

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Replies (2)
Discovery Health
Discovery Health's reply28 Jul 2023, 12:13
Official
Dear Sameerah

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 reply31 Jul 2023, 12:51
Official
Good day 
Please check your emails for final feedback from us.
 
Regards
Discovery Health Servicing Team