ZF
Zanele F

1 reviews | Active since Sept 2017

12 Nov 2019, 05:45

Stop hiding behind T&C's and make a difference in people's lives

I am disappointed to say the least with discovery always hiding behind their terms and conditions. I would like to meet whoever the review panel consists of and they should tell it to my face that the pain I have been experiencing most of my adult life is not considered as an emergency but a cosmetic issue. I have a serious case of bunions which is affecting me badly and in my line of work I have to be constantly standing and I have been to the doctor several times for pain medication and to get a referral for an orthopedic to assess my issue and he has confirmed that unless I do surgery I will forever be in pain. I am on a key care plus plan which allows me to see a specialist but that's where the buck stops as far as discovery is concerned. I am booked for surgery on the 14th November 2019 and I was so relieved only to discover that discovery rejected my pre hospital authorization. I am left with no options whereas I have a medical aid and if I hear someone else from discovery tell me that isn't covered in your plan I will lose it.

0
Replies (3)
Discovery Health
Discovery Health's reply12 Nov 2019, 07:44
Official
Dear Zanele Fusi

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 reply14 Nov 2019, 12:40
Official
Dear Zanele F

We have been in touch with you to answer your comments.

Regards
 Discovery Health Servicing Team

ZF
Zanele F's update14 Nov 2019, 16:04
Reviewer Update
Let it be known that you still REJECTED my claim and still hiding behind your terms and conditions. Maybe the ombudsman will help. This does not end here.