1 reviews | Active since Apr 2015
Discovery rejected my claim.
<p>I was at Lesedi Private hospital yesterday due to my displaced jaw after yawning. I got a message from the hospital that I have to pay 1000 as my medical aid rejected my claim. They only took X-rays and I did not even sleep at the hospital, I was sorted out in the evening and left. How can I pay more than R100 monthly for medical aid to assist me when need be only to get rejected. I am hardly a sickly person but the nonsense of excuses they gave me are pathetic. I might not have Medical Aid coz I will still pay cash like next man on the street who doesn't have cash and goes to a private hospital. An X-ray is am X-ray it doesn't matter where it is. I cancelled Discovery insure due to pathetic service and I am going to look for another medical Aid. Discovery is pathetic and disgusting. Where does my money go if you reject my hospital claim the one time when I was in hospital. I couldn't eat, talk or drink, was I supposed to go to Baragwanath hospital? Clearly. I will take this compliant further to the Medical Council. It's disgusting and a *******!!</p>
I meant how can I pay more than R1000 monthly for Medical only to be rejected and pay R1000 cash. I was not even admitted!! I am so disgusted in Discovery. I am going to look for alternative Medical Aid and will take this further. I might as well have no medical aid and go straight to Baragwanth hospital. Mxim!!!
I meant how can I pay more than R1000 monthly for Medical only to be rejected and pay R1000 cash. I was not even admitted!! I am so disgusted in Discovery. I am going to look for alternative Medical Aid and will take this further. I might as well have no medical aid and go straight to Baragwanth hospital. Mxim!!!
Dear Mountains
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
Dear Mountains
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
I am so angry and disgusted. I pay R1300 monthly roughly for medical Aid and hardly even use my medical aid but this is the thank you I get? I was in pain as this happened around 04:00 yesterday and I got into my car to go to Lesedi. The doctor said she will need to check my jaw first to see if I need to be admitted or not. She did X-rays and other procedures and they managed to locate my jaw successfully so there was no need to be admitted. So the message I got from your Consultant Tevin is thar type of X-ray is not covered. My jaw was displaced, I could not eat, talk or drink anything and the one time I need help from a hospital, my medical aid rejects. This was an emergency and I did not have time to see a GP to ask for a referral. I could not even call Discovery first because I couldn't talk. Where are my monthly premiums going if you reject a lousy claim for R1000? I am just the same as someone who goes to Baragwanth hospital as I still pay cash on top of my premium. My premium is for nothing. An X-ray is an X-ray, it doesn't matter where it is. If you cover certain parts of the body then what's the use of medical aid? Or should I be admitted in hospital in order to get assistance. The doctor took me to casual as she saw fit as she was still assessing whether I need to be admitted or not. So they fixed my jaw, I was not admitted. So now I must pay for being there just because Discovery does nor Cover X-ray of the jaw? I am not a doctor but that is the most ridiculous thing I have ever heard. I pay my premiums loyally every month and this is the thank you I get! I cancelled your car insurance because it was pathetic, I will cancel this medical aid and look for others if not resolved. Which means in future if I go to hospital, I must expect a huge rejected bill when I come out. Yoooooh, that is ridiculous for such a big company but the service is pathetic!!!
I am so angry and disgusted. I pay R1300 monthly roughly for medical Aid and hardly even use my medical aid but this is the thank you I get? I was in pain as this happened around 04:00 yesterday and I got into my car to go to Lesedi. The doctor said she will need to check my jaw first to see if I need to be admitted or not. She did X-rays and other procedures and they managed to locate my jaw successfully so there was no need to be admitted. So the message I got from your Consultant Tevin is thar type of X-ray is not covered. My jaw was displaced, I could not eat, talk or drink anything and the one time I need help from a hospital, my medical aid rejects. This was an emergency and I did not have time to see a GP to ask for a referral. I could not even call Discovery first because I couldn't talk. Where are my monthly premiums going if you reject a lousy claim for R1000? I am just the same as someone who goes to Baragwanth hospital as I still pay cash on top of my premium. My premium is for nothing. An X-ray is an X-ray, it doesn't matter where it is. If you cover certain parts of the body then what's the use of medical aid? Or should I be admitted in hospital in order to get assistance. The doctor took me to casual as she saw fit as she was still assessing whether I need to be admitted or not. So they fixed my jaw, I was not admitted. So now I must pay for being there just because Discovery does nor Cover X-ray of the jaw? I am not a doctor but that is the most ridiculous thing I have ever heard. I pay my premiums loyally every month and this is the thank you I get! I cancelled your car insurance because it was pathetic, I will cancel this medical aid and look for others if not resolved. Which means in future if I go to hospital, I must expect a huge rejected bill when I come out. Yoooooh, that is ridiculous for such a big company but the service is pathetic!!!
Dear Mountains
We have been in touch with you to answer your comments.
Regards
Discovery Health Servicing Team
Dear Mountains
We have been in touch with you to answer your comments.
Regards
Discovery Health Servicing Team
