SG
Shaun G

1 reviews | Active since Feb 2013

09 Apr 2024, 15:23

MISLEADING CONSULTANTS

I am VERY disappointed, we recently discovered that my wife is pregnant and Bestmed was our medical aid at that point, upon realizing that Bestmed will not cover her maternity, I immediately phoned Discovery, I had an amazing experience with Miles the consultant and immediately signed up to Discovery Health with him. During our call at exactly 2:22 minutes, I asked will my wife's maternity be covered from inception, and I was assured that it is part of the prescribed minimum benefits and will be covered, IE they will cover the Gynae visits, scans, blood tests.

So without hesitation I moved my entire family across to the new scheme, only to discover that they have gone back on their WORD! Last week my wife had to go for blood tests to ensure the pregnancy was moving along smoothly and we had to pay R5000 out of pocket, and Lauren the "manager" tells me no, my wife has a "pre existing" condition and she has to wait 3 months before they will cover!

This is ridiculous, I have the phone recording proving that it was the FIRST thing I asked the consultant and was assured it would ALL be covered!

You are welcome to go listen to the recording labeled "S Gordon 05 March 2024 inbound call_1_1_S Gordon 05 March 2024" from 2:22 I literally asked and was assured it would all be fine and that was the ONLY reason I went ahead with the move.

0
Replies (6)
Discovery Health
Discovery Health's reply10 Apr 2024, 07:21
Official
Dear Shaun G

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
SG
Shaun G's update10 Apr 2024, 07:35
Reviewer Update
I am not going to hold my breath, Lauren was supposed to contact me yesterday already concerning this matter that I brought to her attention last week Wednesday...... To date, nothing, absolute radio silence.
Discovery Health
Discovery Health's reply12 Apr 2024, 14:15
Official
Dear Shaun G

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

Regards 
Discovery Health Servicing Team
SG
Shaun G's update12 Apr 2024, 14:34
Reviewer Update
Yes you have been, and despite me actually having the recordings you are still refusing to stick to the promises made by your consultant. Lauren only received a transcript, not the actual recording itself. Which I am now forced to escalate and take further.
SG
Shaun G's update27 May 2024, 10:10
Reviewer Update
So an update regarding this situation. The disputes department, Tasneem eventually contacted me and agree that the consultant was in error and they will cover ALL the claims regarding my wife's pregnancy to date. Pretty cool right???? No, in close to R10 000 worth of medical bills for my wife's pregnancy, ONLY R184.00 has been paid back to us.

Try contact Tasneem??? Radio silence, Try email her? Nothing, no response.
Discovery Health
Discovery Health's reply23 Oct 2024, 14:46
Official
Dear Shaun G

Your query has since been resolved.

Regards 
Discovery Health Servicing Team