nN
nigel N

1 reviews | Active since Nov 2013

29 Apr 2019, 16:16

Pregancy benefits...but only if you have registered! Highly upset!

As with any couple, we were very excited to fall pregnant with our second child and having the OBGYN confirm this was the most amazing news. We are now half way through and have visited the OBGYN numerous times since he confirmed the pregnancy, earlier this year. We have now exhausted our medical savings account and thought that perhaps we should be receiving some benefits from our medical aid, for the routine visits. We discovered that we are entitled to some but didn't know. My wife then registered for 'Your pregnancy' on the website, because the app didn't work properly, and then called Discovery to ask if we could be refunded the money back into our medical savings, for the benefits we should have received. She was told that it is too late and she didn't register in time to receive them and only going forward would we benefit. She told me how disappointed she felt, which I felt too. As a customer of 17 years, I feel pretty used. Not only this, we didn't receive any benefits under this programme for our first child too, which also exhausted our medical savings at the time! Surely Discovery, having seen so many OBGYN visits, including scans, which are likely to include a code indicating pregnancy, should also perhaps flag their system to say that these people are not getting the benefits that they are due and perhaps should be contacted to tell us that if we register, most of what we are paying for out of our medical savings would be covered. Discovery claim to be so advanced and willing to help and benefit, but when people don't know, it leaves a very sour taste to simply be told, 'NO you can't get those benefits because you didn't register in time'.

I feel that it would be very simple for Discovery to help people out, but quite clearly, money is the motivator for them and their shareholders and bottomline profits are more important than us, their clients. I wonder how much money they are making by not giving people benefits that are technically due. And how many people, like us, are even aware of these benefits and simply try to then pay out of medical and personal savings!

I hope that someone comes to the party from Discovery because at the moment, I and my wife feel pretty terrible about this! And perhaps should reconsider our membership and my company's medical aid.

0
Replies (6)
Discovery Health
Discovery Health's reply29 Apr 2019, 16:51
Official
Dear  nmb100 

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 


nN
nigel N's update30 Apr 2019, 08:34
Reviewer Update
I look forward to hearing from you. I have noted on my side, after chatting with my wife, that we think we did receive some of the pregnancy benefits for our 1st child, but are not sure whether we could have received more.
nN
nigel N's update02 May 2019, 13:30
Reviewer Update
I would also like investigated at the same time the costs for our son's emergency room visit on 30 Dec 2018, which was completely paid out of our medical savings. Should some of this not have been covered by you? He is a dependent member our medical aid account.
nN
nigel N's update02 May 2019, 13:33
Reviewer Update
And his pediatrician visit on 12 March? Also completely paid from our medical savings. Surely something is paid for by you guys and not all for our account?
nN
nigel N's update03 May 2019, 15:22
Reviewer Update
I am now extrememly ****ed off and very disappointed that reason and sensibility does not play any factor. I received a call from Discovery stating that they would not be reviewing the previous claims based upon the fact that we were not registered and basically 'should have known better'. I was told I could lodge a dispute and the forms would be emailed through, which I will do once they come. I will be taking this up with the medical ombudsman as well and am most certainly not prepared to let this one go as I while we didn't register, they knew and offer nothing! I really feel like an absolute piece of ******* to these corporates!
nN
nigel N's update03 May 2019, 15:26
Reviewer Update
Added to that, my son's emergency room visit has zero cover by the medical aid themselves because he was not admitted. Perhaps Discovery should not tout themselves as a medical aid but simply as a medical hospital plan with savings as nothing outside a hospital is covered pretty much!