MD
Mpho D

1 reviews | Active since Dec 2013

18 Dec 2020, 09:04

Improper implementation of the medical aid scheme act

First complaint: I app**** to add my father as a dependent on my existing medical police, Discovery went and app**** the late joiner penalty of 75%. I read and understand the medical scheme act, it say medical scheme may apply the late joiner penalty but Discovery now use the act to discriminate people who had no financial affordability to join medical aid schemes. They should have done historic financial affordability check before they make the call to add the late joiner penalty. Discovery can not keep on applying a blanket approach about the later joiner penalty. The medical scheme act is clear because it left the honors to the medical schemes to practically apply the law. Currently the act is being abused by Discovery by failing to apply common logic.

Second complaint: I am leaving with my orphan niece which I took the parental responsibility to provide all the needs of the child according to our African customs. I failed to add her on my medical plan because Discovery want proof that I am a legal guardian to the child, which I don't have. I supp**** all proof that the child's parents are deceased and I am the provider of all the needs of my niece as she stays with me under one roof. Discovery wants me to open a stand alone medical aid policy for her as principal member so that they can continue maximize their provide at the expense of an orphan.

Discovery discriminates civilians under the wrong implementation of the medical scheme act.

0
Replies (6)
Discovery Health
Discovery Health's reply18 Dec 2020, 10:20
Official
Dear Mpho
 
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 
MD
Mpho D's update18 Dec 2020, 11:36
Reviewer Update
As soon as possible must not be days
MD
Mpho D's update21 Dec 2020, 14:29
Reviewer Update
I need resolution of my complaint, please don't hang me to dry
MD
Mpho D's update22 Dec 2020, 10:51
Reviewer Update
I have given you reasonable time to respond with understand of the act and you still came back with the wish-wash answer to keep enriching yourself at the expense of the historically financially under privileged. The act is clear with the Later Joiner Penalty you are the one that abuses it for own financial gain, let see if the Medical schemes Ombudsman will agree with your version.
Discovery Health
Discovery Health's reply22 Dec 2020, 16:11
Official
Dear Mpho
 
We have been in touch with you to answer your comments.
 
Regards 
Discovery Health Servicing Team 
MD
Mpho D's update08 Jan 2021, 09:22
Reviewer Update
No answers were provided inline with my complaint