GB
Grant B

1 reviews | Active since Jul 2021

21 Jul 2021, 12:04

No Benefit Under Chronic Illness Benefit.

I never thought it would come to this but where does one turn to when trying resolve an issue directly with your medical scheme has become impossible to do. Now, having read so many reviews from other members experiencing the same frustrations, I no longer feel alone in my plight. I to have tried the direct channels only to be ignored, disregarded or met with total indifference with absolutely zero interest from anyone to assist with my query. Automated responses and A.I bots do not help either.

My issue is that I have approval for a Chronic Illness Benefit and yet cover under this benefit is being refused or withheld. To date, all treatment, including medication, is still being paid from my Medical Savings Account which is fast being depleted. What is the point of approving the benefit if there is no benefit given ?

Sadly, I don't think that airing my grievance here is going to make any difference as after all, we are only dissatisfied members, not important in the bigger picture !

0
Replies (6)
Discovery Health
Discovery Health's reply21 Jul 2021, 12:24
Official
Dear Grant B 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 reply22 Jul 2021, 10:18
Official
Dear Grant B We have contacted you to discuss your concerns. Regards Discovery Health Servicing Team 
GB
Grant B's update29 Jul 2021, 12:03
Reviewer Update
It is puzzling as to why it took going to these lengths to get a meaningful response but yes, I have been contacted and my matter has been PARTIALLY resolved, satisfactorily. I am still having to fund the medicine myself but hey, isn't that why we have medical aid, so that we can pay for our own healthcare.
GB
Grant B's update18 Aug 2021, 16:10
Reviewer Update
Almost a month on and the medication prescribed to treat the Chronic Illness, and approved by the scheme, is still being funded from Medical Savings !

The "our way or the highway" tactic has now been deployed and in short, it seems there will be no benefit given for medication under the Chronic Illness Benefit, despite the prescription having been submitted and approved. This is contrary to all the information Discovery provides on the topic and what the Chronic Illness Benefit purports to be.

Without even the courtesy of an explanation, I cannot accept this.
Discovery Health
Discovery Health's reply11 Oct 2021, 08:23
Official
Dear Grant B We have contacted you in September to discuss your concerns. Regards Discovery Health Servicing Team 
GB
Grant B's update11 Oct 2021, 09:05
Reviewer Update
Nonsense, there has been no contact made with me except for the standard, unhelful email resonses and it is has become apparent that Discovery have no intention of ever resolving this.