aB
ajith B

1 reviews | Active since Aug 2017

30 Aug 2017, 09:31

Discovery takes no accountability

My wife was admitted on Friday the 25August for a heart problem. It was her first experience of this kind. It was 10pm, and it was too late to get authorisation from discovery since they were closed. On Saturday the 26th August I was told medical aid would not authorise since it was our 1st time using it and they needed to confirm if there was a pre existing condition with our GP who was not available over this weekend. On Monday I went personally to discovery offices to see what they were going to do and they told me they had sent the relevant documents to the doctors. In the mean time, the hospital asked for R50 000 as a deposit for treating my wife.

Turns out discovery never sent through the forms to my Gp when they said they did. Then Gillian Van Reenen from discovery calls to say the claim is denied but not due to anything irregular with my wife's condition but because we did not disclose that my wife has poly cystic ovaries which she has had for more than 16 years and this was fully disclosed at the time of my application. Further to that I have been asthmatic for all of my life but they have no record of it. According to discovery it is not their fault that the brokers uploaded my info incorrectly....

Discovery did not even request the original form from my employer to validate what I had signed for, all they can say is that it was not their fault and it must be taken up with the broker. I do not pay a broker, my payslip reads discovery medical aid that deducts a premium and yet they can't seem to help....

Medical aid is suppose to look for ways to assist their clients and at the very least do a proper investigation

0
Replies (2)
Discovery Health
Discovery Health's reply30 Aug 2017, 09:50
Official

Dear ajithbarath

We’re sorry to hear you’re dissatisfied. Please give us a chance to look into your query and we’ll be in touch soon.

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply01 Sept 2017, 12:56
Official

Dear ajithbarath

We have been in touch with you to answer your comments.

Regards
Discovery Health Servicing Team