TL
Tammy-Leigh Lodge

1 reviews | Active since Nov 2021

10 Nov 2021, 17:09

Disgusting service by standards team after 7days awaiting feedback

Complaint: Details of Complaint: After submitting all relevant documentation to discovery health medical aid and struggling for authorisation for admission requested by a medical professional professor G Modi since 3.11.2021 eventually authorisation was given on the 9.11.2021 of which I was admitted and on the 10.11.2021 at 11:30 from Rosanna Kinloch *** enquiring regarding the sales call. I then enquired that on the call it clearly gives you examples of medical conditions of which I stated no to the mentioned calls. She questioned regarding a personal matter between gp and my workplace which is in all honesty a violation of my right to privacy as she insisted I disclose the reason for seeing my gp. After which I clearly disclosed what transpired in the sales call. After which the agent arrogantly and repeatedly stated non disclosure of which I requested the call. I am disgusted that discovery medical aid has the audacity to collect premiums and when a medical issue arises they terminate membership. And all of this after fighting and calling more than 18times between the 3.11.2021 -09.11.2021 to gain clarity or rather authorisation for my worsening medical condition. Eventually authorisation was given 08.11.2021 and then revoked and membership cancelled 09.11.2021 without the call recording I so clearly requested and stated I will not be signing any form before I have access to the sales call recording: please also note that my neurological condition that arose on the 02.11.2021 have no connection to my respiratory issues or whatever issues that discovery have stated What I want from the Ombudsman: I would like the ombudsman to hold discovery liable for all hospital payments as per the scheme as authorisation was granted and then when they felt they have completed whatever that took over 10days to do call me to say my membership has been withdrawn. I feel this is both unfair to me a sick patient and a violation of the authorisation given.

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Replies (2)
Discovery Health
Discovery Health's reply11 Nov 2021, 07:31
Official
Dear Tammy-leigh L

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 Nov 2021, 15:33
Official
Dear Tammy-leigh L
Please check your emails for final feedback from us. Regards
Discovery Health Servicing Team