1 reviews | Active since Mar 2015
Membership Problems
Joined Discovery Health in June 2015 via a telephone call received from Nelisiwe Nkabinde who asked me various questions via the phone. I answered all the questions honestly and when asked about chronic medication Nelisiwe stated that she has all my detail with previous medical aids on the system and she would complete these fields on her own. When asked if I am currently using any medication I answered affirmitively. I also have a witness to this fact. I received my membership package from Discovery with effective date 01/07/2015 and subsequently I made an appointment with my GP to complete the necessary documentation for chronic medication, I was then informed via telephone that I was dishonest in my application with Discovery and my membership would be terminated. To date I have not received a hard-copy or email copy of my application done over the phone, If I did I would have been able to inform Discovery that Nelisiwe made a mistake by not completing the relevant information on Chronic Medication. I have been a member of Discovery in the past, a member of BestMed, and a Member of Fedhealth, I Have never failed to disclose any information and I take offence at the suggestion.
Thank you for your comment.
When a member joins the Scheme, we process the application according to the information disclosed on the application. Once your membership is activated and we receive a request for either in or out of hospital authorisation within a certain period of time our system will automatically pend the request. We will then request further clinical information from your provider. This process is necessary to ascertain whether there were any pre-existing conditions of which we were not aware.
We confirmed that the relevant team has been in contact with you. Should you wish to dispute this decision you may contact the Standards Team directly who will assist you.
I am sorry that we could not change the outcome to your query.
Regards
Jashvir
Thank you for your comment.
When a member joins the Scheme, we process the application according to the information disclosed on the application. Once your membership is activated and we receive a request for either in or out of hospital authorisation within a certain period of time our system will automatically pend the request. We will then request further clinical information from your provider. This process is necessary to ascertain whether there were any pre-existing conditions of which we were not aware.
We confirmed that the relevant team has been in contact with you. Should you wish to dispute this decision you may contact the Standards Team directly who will assist you.
I am sorry that we could not change the outcome to your query.
Regards
Jashvir