ZE
Zaituna E

1 reviews | Active since Feb 2015

12 Mar 2019, 14:24

DISCOVERY OUTSMART MEMBERS YET AGAIN!!!

@ Discovery Health you go out of your way to outsmart your members over and over. It takes you days to respond to my queries and get back to me, however it took a few hours for you to deny my doctor's application for chronic medication. The blood work that proves her diagnosis are not taken into account as according to Athola she is not a gynecologist. Therefore the advise given is that I go visit a gynecologist pay out of my pocket for this visit in order to prove what recent blood test already revealed!!! This is purely because discovery does not approve (found this out today I might add) any chronic medication prescribed for my condition by my GP even if she has evidence (in the form of recent blood test) to prove the diagnosis. So Athola suggest that I go to the gynecologist just to have him/her sign off on the medication as that is what Discovery demands!!! So lesson learnt to anyone reading this...Please if you have an option choose wisely this medical aid will outsmart you, will ***** you over and will make your life difficult cos they can!! 1. you will be shocked when trying to fill prescriptions if you do not have a medical back ground as you must know the ingredients your prescribed medication consist of in order for you to know which acute medication is not covered!!! 2. after weeks of back and forth your prescription will still not be filled even when the agent does not know the ingredients or have a list of acute medication not covered to forward you 3. help will come in the form of "for your own expense' 4. your chronic application will be denied before 10am if submitted the day before by 17h00pm 5. evidence i.e blood test is not admissible if the test were not by a submitted by a gynecologist.

my list is long and the battle was fierce however discovery will make sure they win the war...they will make you dance to their tune, they will drain you of your energy in order for you to give up and concede...They will call you back in a few days make no mistake and they will come up with something new, HOWEVER THEY WILL NOT ASSIST THEIR MEMBERS as THAT MEANS DOING THE RIGHT THING that is too much to ask for!!!

0
Replies (2)
Discovery Health
Discovery Health's reply13 Mar 2019, 12:43
Official
Dear Z.Skosan

 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 
ZE
Zaituna E's update16 Mar 2019, 00:04
Reviewer Update
This feedback will never come; however it was expected?