No Medical assistance

Greetings,

Trust this mail finds you well. I am currently on Discovery Essential Smart Plan – active member. Membership Number: ***. My recent experience with Discovery and my emergency visit to hospital for surgery was far from being comfortable and secure in the medical aid provider, being Discovery that I have opted to chose as a service provider.

I visited my GP Dr Moore (Practice Number ***) on Tuesday as I was experiencing severe pain, she then requested that I seek immediate surgery with Dr Karlsson (Practice Number ***). I then received my authorization code: ***6 and the doctors proceeded to admit me, following my surgery the accounts department from Morningside medi clinic contacted me and said that “Discovery does not want to pay because they trying to claim that this is a non-emergency” Both my doctors, myself and the accountant were in utter shock as they stood next to my bedside after I was trying to recover from surgery earlier in the day.

I then notice that on my Discovery app, the authorization changed the following day to not authorized and classification amended to a non-emergency. I was in utter disgust and my surgeons and doctors wrote letters- attached because they were in disbelief too.

This is not why people have medical aid, it is for reasons such as this that medical aid should not fight against you rather assist you as a client to get the care that you need.

Furthermore, I was prescribed medication that I attempted to get from the pharmacy at the Morningside Mediclinic after them contacting my medical aid they reverted back and said once again medical aid will not cover the medication because this pharmacy was not preselected in my choice of pharmacies. In severe and utter pain, I then journeyed to Dischem pharmacy to get the prescribed medication and despite this being my pre-selected pharmacy, Discovery medical aid refused to cover the medication and I was forced to pay.

This is totally despicable and I urge you to revert back with sincere apologies from very senior management for the pain and discomfort you have put me through. Instead of being bed ridden and on the road to recovery, I am forced to write this message in the hopes you sort out the care that I have paid for and act like a medical aid that cares about its clients.

Attached are the Doctors Letters, Surgeon letters, my discovery membership card and medication that was declined due to Discovery.

Best Regards

Michyle Neutel