CC
Candice C

1 reviews | Active since Jun 2016

29 Jun 2016, 06:54

Refusal to give aurthorisation

<p>I am currently struggling with a a very rare medical condition, and have been admitted to hospital a few times due to extremem pain. This is for Neck pain. I finally found a Dr who is willing to assist me but your review team are refusing to give permission for one more day in hospital due to the fact that I have used 6 days up in hospital for treatment already. When we signed up for Discovery we were never ever informed that there is only 6 days for neck treatment, we were told that hospital benefit is unlimited!! I am absolutely astounded. If I do not get this treatment for the pain, I will lose my job as I cannot work and you will lose us as a client for medical aid as well as life insurance. I am going to make sure to tell everyone about this and we will be cancelling our medical aid with you anmd life insurance should this not be sorted out. I am devastated that we pay a fortune for medical aid every month, sometimes people get sick and it takes drs more than 6 days to figure out what the problem is, how on earth can you do this!!! Unnacceptable!! my medical aid number is ********** 10. This treatment was meant to be done tomorrow. I am beyond livid!! </p>

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Replies (2)
Discovery Health
Discovery Health's reply29 Jun 2016, 07:38
Official

Dear Candice

Thank you for speaking to us and allowing us to address your concerns. We’ll contact you with feedback soon.

Regards
Discovery Health Servicing

Discovery Health
Discovery Health's reply01 Jul 2016, 14:34
Official

Dear Mrs Castle

Thank you for talking to us.

We have confirmed that you halve been contacted and a decision regarding your authorisation has been given to you. We are truly sorry that we could not give you a favorable response. The Scheme ensures that our funding decisions are fair and consistent to all members while maintaining long-term sustainability. The protocols in place are never to cause any frustration to our members but rather to ensure that the most appropriate decision is made and in line with the Scheme rules.

Regards

Hadiyo Tshabalala