PG
Pieter G

1 reviews | Active since Oct 2017

02 May 2018, 12:59

Most pathetic medical aid in SA!

I have been member of the most pathetic medical aid in SA since 2014!! The same procedure have been done on my wife twice by the same hospital and same doctors in the last 4 months. My wife is expecting and is a high risk patient, because of that she have a few doctors working on her and cant afford to move doctors or hospitals. All of a sudden the hospital and doctors we have been using are now Non Designated by this medical aid!! She have to undergo the same procedure as in January and March this year again next week and the procedure wont be authorized by Discovery as the hospital and doctors are suddenly non designated??????? By April this year I started to get worried as our baby will be arriving soon and we might need some medical assistance. I contacted Discovery and loaded a GAP cover with them starting 01 April 2018. I was assisted over the phone by the agent Kevin and was told all is in order and my GAP cover is sorted. Today I was told its not activated and need to sign some documents. I have asked Kevin twice in April if all is sorted and if I need to do anything else, I was assured all is done and sorted. After 3 phone calls again today, each up to 30 minutes nothing is still done!! I chose this medical aid so that I will not have any problems. I pay them a lot of money for the benefits and thought that we will be fine and can be assured. Each and every claim has a different story and I struggle every time I have to do something in connection with Discovery. Claims are paid out from wrong accounts and the amounts always have a very long explanation. As long as they pay you out a quarter of your claim you should be happy! Please advise me where to go and what to do as my child is borne in a month and this medical aid cant be trusted with life and death of my family!!!!!

0
Replies (4)
Discovery Health
Discovery Health's reply02 May 2018, 14:13
Official

Dear pietergothan

We’re sorry to hear that you are dissatisfied. We’ll investigate your concerns and contact you again once we have completed the investigation.

Regards
Discovery Health Servicing Team

PG
Pieter G's update03 May 2018, 11:46
Reviewer Update
THIS IS JUST GETTING WORSE! No phone call, email, reply, Nothing from Discovery. So I called 3 times again today and was told by this Kevin's agent supervisor that he cannot activate the GAP cover. So it looks like this is impossible to resolve. Yesterday out of the blue I received and email with activation forms to sign for the Gap cover, but was told by Kevin on 11April that all was done on the phone and there is nothing to be signed or to do further. Now I received and sms that is has been activated. But the Gap cover is from 1 May with a 3 months waiting period. So now I have to wait another month and will be having a 4 month waiting period because of Kevin not doing his job and never did what he told me have been done. This is unacceptable! On the other hand with my normal Classic saver plan that suddenly wont be paying 100% for my wife in hospital NO WORD, NOTHING! Please be very careful with Discovery people! And please advise me on a honest, capable medical aid in SA!
PG
Pieter G's update03 May 2018, 12:56
Reviewer Update
OK, after phone call nr 6, for today only, I manage to speak with Kevin. Amazing! My Gap cover was activated today only starting from 1 Mei 2018 after I have been promised it was activated on 11 April 2018 starting 1 April 2018. After a lot of effort and arguing it was activated today starting cover at 1 April 2018 like it should have been from the beginning. THANK YOU DISCOVERY!! I am waiting on feedback from Rakesh Sookraj regarding the payment,and would like to know what compensation I will receive for sorting out there problems???? I still also need the phone recordings where I was promised 3 times it have been activated in April. As for my Classic Saver plan with Discovery NO NEWS! The procedure for my wife is scheduled in 3 days time. I need 100% cover confirmation by Friday 4 May 2018. I think this is to much to ask from this medical aid and I know that I wont receive any feedback or help unless I take at least 3 hours of my day to stay on the phone with them and keep calling. BEWARE PEOPLE! It is terrible to go through things like this with a company that you pay a lot of money to for their service!
Discovery Health
Discovery Health's reply04 May 2018, 11:37
Official

Dear pietergothan

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

Regards
Discovery Health Servicing Team