BvdS
Braam van der Schyff

1 reviews | Active since Apr 2014

10 Mar 2025, 15:28

Not providing the service they sell (and I paid for) in my specific plan.

I changed my plan to Classic Smart with the specific reason that it says in chapter 10 under Scopes at the bottom of the page that: *No upfront payment applies:* If scopes are performed in the doctor's rooms, as part of a Prescribed minimum benefit (PMB) condition, or the patient is aged 12 or under, you WILL NOT HAVE TO PAY ANY AMOUNT UPFRONT. We pay the account from the Hospital Benefit.

I've been phoning since January to get the list of doctors (there are a few) in Port Elizabeth that can perform a colonoscopy in-rooms under the conditions that is prescribed in their plan benefits. After an one hour of discussion (again today) with Discovery Health they said that they cannot provide me with any doctor that was contracted by them and that they came to the conclusion that they cannot offer me the service that was promised in the Classic Smart plan and that I should again try after 28 March (after this date was postponed 2 times already) to see if they can provide me with the service they promised in their own schedule under chapter 10 with the excuse that they do not have the means to ask doctors in the 5th largest city in South-Africa to perform a normal day-today procedure or make an exception because they cannot provide the service they promised by sending me to another hospital in Port Elizabeth. Absolutely unacceptable to pay for benefits and then refusing to provide them.

0
Replies (5)
Discovery Health
Discovery Health's reply11 Mar 2025, 07:08
Official
Dear Braam V

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 reply13 Mar 2025, 11:02
Official
Dear Braam V

We have been in contact with you.

Regards 
Discovery Health Servicing Team 
BvdS
Braam van der Schyff's update13 Mar 2025, 17:00
Reviewer Update
Note that this is not true - nobody has been in contact with me. Give me the date, time and person that was in contact with me?
BvdS
Braam van der Schyff's update17 Mar 2025, 20:31
Reviewer Update
One week later and Discovery still has not responded or rep**** in any way as they claim to have done on 13 March 2025.
Discovery Health
Discovery Health's reply18 Mar 2025, 16:04
Official
Dear Braam V

Please check your email for feedback from us.

Regards 
Discovery Health Servicing Team