1 reviews | Active since Jun 2015
Pay medical aid no hospitalization
I have been with Sizwe medical aid on my wife's name for 11 years, never a problem. I discovered they would no longer do full hospitalization which they changed and notified us by post, but the postal went on strike and we contacted Discovery through my wife's work and was told there would not be a waiting period as we had full medical aid for that time(we joined the 1st of January). I went to the doctor for a pain I have and was examined and referred to be booked in hospital for test and treatment. When I got to the hospital they informed me that Discovery will do checks and it can take up to 8 working hours to be approved.it was 10 o clock in the morning and it took plenty phone calls and I am still not in hospital after losing a day of working for my self. I am still in pain and was supposed to be in hospital. All payment from 1 January went through and was never advised of such a condition ,my insurance claims take quicker and this could be something else that is causing my pain. I would have been helped quicker at a government hospital
Thank you for your comment.
When a member joins the Scheme, we process the application according to the information disclosed on the application. Once your membership is activated and we receive a request for either in or out of hospital authorisation within a certain period of time our system will automatically pend the request. We will then request further clinical information from your provider. This process is necessary to ascertain whether there were any pre-existing conditions of which we were not aware.
We confirmed that your admission has since been approved and we wish you a speedy recovery.
Regards
Rishana
Thank you for your comment.
When a member joins the Scheme, we process the application according to the information disclosed on the application. Once your membership is activated and we receive a request for either in or out of hospital authorisation within a certain period of time our system will automatically pend the request. We will then request further clinical information from your provider. This process is necessary to ascertain whether there were any pre-existing conditions of which we were not aware.
We confirmed that your admission has since been approved and we wish you a speedy recovery.
Regards
Rishana
