NV
Nadine V

1 reviews | Active since Mar 2018

09 Oct 2024, 14:05

Discovery's Disgrace

Discovery Health has recently made it nearly impossible for me to access basic medical care. I've never had any serious medical conditions or been hospitalised, yet I now find myself unable to obtain a simple GP consultation.

Previously, I could visit a GP and claim for out-of-network consultations. However, Discovery on-the-fly informs that it has implemented changes that restrict this benefit. I am now forced to visit a primary healthcare clinic, which seems counterintuitive for someone with private medical aid.

The Wellth benefit, advertised as a valuable addition, appears to be more of a hindrance. It's riddled with restrictions that make it practically inaccessible.

I’ve been informed that I cannot get a second opinion outside of 1 network GP; I must obtain a referral to from the same GP to another GP. This process is impractical and unfair to a patient.

These unannounced changes seem to violate the Medical Schemes Act 131 of 1998, which states to:

Provide members with clear and concise information

Obtain member consent

Adhere to fair and equitable practices when implementing changes. This means that medical schemes cannot make changes that are discriminatory or unfair to members.

Dealing with Discovery has been a headache and a burden, causing more problems than it has solved. The customer service representative told me I could easily cancel my membership. I will be looking elsewhere.

0
Replies (6)
Discovery Health
Discovery Health's reply10 Oct 2024, 06:43
Official
Dear Nadine VH

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 reply11 Oct 2024, 10:07
Official
Dear Nadine V

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

Regards
Discovery Health Servicing Team

NV
Nadine V's update11 Oct 2024, 13:08
Reviewer Update
I received an email with a broken attachment, no reply.
Discovery Health
Discovery Health's reply16 Oct 2024, 14:09
Official
Dear Nadine V 

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

Regards
Discovery Health Servicing Team

NV
Nadine V's update16 Oct 2024, 15:16
Reviewer Update
Discovery failed to address my specific complaint, instead sending a generic response about updated rules. They completely ignored my other issue and showed no accountability for the sudden and unauthorized backend changes.To cover their tracks, they sent a mass email to all customers promising increased transparency.I hope this serves as a warning to anyone considering joining Discovery. Their level of service is clearly deteriorating.
Discovery Health
Discovery Health's reply28 Oct 2024, 07:49
Official
Dear Nadine V 

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

Regards
Discovery Health Servicing Team