ML
Michelle L

1 reviews | Active since Nov 2015

13 Mar 2023, 04:14

The worst service/lack of service ever!

I dread the day I joined Discovery Health.

I have gone through so much stress with this medical aid it's causing depression and anxiety.

Last year I found out I was expecting and went to my doctor to confirm and he did. Cut a long story short early this year I had a miscarriage that was confirmed by a gyne. I had activated my pregnancy cover and Discovery rejected my cover and used my savings to cover these costs I call them they tell me stories every time. Mind you I am not okay emotionally and physically but they don't care they call me back to ask the same questions every time about what I went through and still don't fix the claim issues.

Till todate they have not fix these claims and my medical savings not returned!

After a month or so I get an allergy I go to my GP he gives meds and an injection with the hopes that it will get better. The next day I get worse and go to the hospital I get admitted and they get the authorisation code. I was in hospital for a week in that week tests after tests were done with me not getting better. I had to do a few scans as well my blood pressure goes up... after the 6th day in hospital I get better at this point I'm checking my medical aid app and see that all my medical savings have been used. I all Discovery they tell me they hospital did not state that I'm still at the hospital ( the hospital used the authorisation code clearly I'm still in hospital) I tell them that I am still in hospital and ask the hospital to confirm they hospital confirms.

When I got discharged from the hospital I was given a script for my medication and well aware that my savings are still not available I call Discovery they tell my medical aid is temporarily suspended and under investigation because they assume I had pre-existing medical conditions that I have not declared they tell me this is on the day I got discharged from hospital mind you I am still sick and need medication and here is this big shock im getting from Discovery and that leads me to getting even worse because of this stress. They tell me to pay cash because there is nothing they can do. At home a got worse but I couldn't go back to the hospital because it's still suspended or under investigation. I could have died at home!

I keep calling to ask them what's the status of my medical aid a week after these calls I get a call from some girl who tells me they tried to contact my GP to confirm if I have any medical condition that I did not declare. She tells me my doctor has not confirmed so they will not pay any of my hospital bills. I ask her why I was not aware of this and if they have tried to call the GP and its a no. I have no written notice of this no call just nothing. I give her a secondary email address for my GP she says they will resend.

The next day I get a letter telling me my authorisation for the hospital admission is declined because my GP has not responded.

Who's problem is that why am I suffering because of people who cant or wont do their job? I know that I have no medical conditions that was not declared because I am taking no medication, I am not on any prescribed medication or treatment and this is the first time I've been admitted to hospital for any condition expect being pregnant. Why is it that I need to suffer for people who are inadequate/*********** staff.

I regret joining Discovery because they have caused me so much pain and stress!! I am without any savings and I'm getting hospital bills on a daily that I need to pay so tell me why do I have medical aid?

0
Replies (4)
Discovery Health
Discovery Health's reply13 Mar 2023, 07:10
Official
Dear Michelle

 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 Mar 2023, 14:12
Official
Dear Michelle 

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

Regards
Discovery Health Servicing Team

ML
Michelle L's update15 Mar 2023, 18:08
Reviewer Update
This is still not sorted out. Your guys promised to call me back and nothing. Like always.
Discovery Health
Discovery Health's reply24 Mar 2023, 06:58
Official
Dear Michelle 

Please check your emails for final feedback from us.

Regards

Discovery Health Servicing Team