SP
Sharon P

1 reviews | Active since Feb 2022

07 Feb 2022, 08:34

Discovery Medical aid- Very disappointing

Very disappointing service from Discovery. I hope this goes out far and wide and people re think using discovery as their medical aid. I am currently on the Classic smart plan and I have been diagnosed with Chronic tonsillitis months AFTER joining my medical aid. When I app**** for my pre authorisation for a tonsillectomy on the 17th of November 2021 for my hospital admission for the 24th of November I was told the turn around time was 4-7 working days. I patiently waited and when I followed up on day 6 I was rudely told that they are still well in time for the turn around time. I waited patiently and followed up day and day after and still did not get a repose. PMA Forms were requested by my ENT which were sent. They then said the forensic department is now attending to the case and they will either approve or decline my procedure which I continued to wait to hear from. I phoned every second day and was told the same thing about the forensic team dealing with the case and they will escalate it for me. I was then told they need to request another PMA form from my local GP whom has nothing to do with or knows nothing about my diagnosis. Weeks went by and I followed up constantly and was always told my case would be escalated as the PMA form from my GP has not been received. A month went by and still nothing. We are currently sitting on the 7th of February 2022 (almost 3 months later) and to this day there has been no progress or what the status on my case is. I have not heard weather or not they have approved or declined my procedure. They are very quick to debit me monthly but when you actually need them, can you really rely on them? Discovery is a business, they do not care about their people and their health. What if I was diagnosed with something more serious than Chronic tonsillitis? Are you able to trust them with your health when they take this long to deal with a case. Or am I paying a monthly fee to land up in a state hospital??

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Replies (1)
Discovery Health
Discovery Health's reply07 Feb 2022, 10:16
Official
Dear Sharon P

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