TIRED OF THIS PATHETIC MEDICAL AID PLAN AND SERVICE AND ITS ONLY THE START OF 2018!!!

To whom it may concern

I'm currently on the KEY CARE PLUS plan with discovery medical aid , its the most inconvenienced plan, that opts to let one pay and provide no service!

i have a gynecologist appointment scheduled for Friday 12th January 2018 @10:30am, and I've been struggling since Monday 08th January 2018 to get a authorization code from Discovery Medical aid . i receive a sms Tuesday afternoon advising the following: Discovery Health Medical scheme will not pay for your specialist visit from the specialist benefit. The reason for the decline is that we do not pay for routine follow up visits to a specialist.

1- Kindly advise where in the KEY CARE PLUS PLAN does it stipulate that routine follow-ups to a gynecologist will not be covered? 2 - Kindly advise where it stipulates where the pap smear should to done? 3 - Why decline my request to go and have a check up done at a gynecologist? Every woman is entitled to see a gynecologist at least once a year , where the medical aid plan should cover it! 4 - Its a back and forth between, myself, discovery agents , and the doctors offices trying to get a authorization code for an appointment. A medical aid plan THAT I PAY FOR , MY REQUEST IS BEING DENIED! 5. Now i receive another sms from discovery , requesting, which treatments were used , which treatments are currently being used and just a whole lot of bull **** to delay the process!!!!!

THE FIST AGENT I SPOKE TO ON TUESDAY WHEN I CALLED INTO THE CALL CENTER FIRST ADVISED ME THAT THE INCORRECT CODE WAS USED BY THE GP. THE AGENTS RESPONSE TO ME, PLEASE LET THE GP RESUBMIT THE FORM WITH THE CORRECT CODES. BUT WHEN I CHECKED THE FORM FROM THE GP, THE INCORRECT CODE WAS USED, SO DOES THE AGENT GIVE THE INCORRECT FEEDBACK .

WHY AM I ON A MEDICAL AID PLAN THAT IS OF NO BENEFIT TO ME? EVERY TIME I WANT TO HAVE SOMETHING DONE, ITS DECLINED OR ITS CLASSIFIED AS A PRE-EXISTING CONDITION! THIS IS TOTAL BULL ****

NO WHERE DOES IT STATE ON THE KEY CARE PLUS PLAN THAT IT DOESN'T ROUTINE FOLLOW-UPS TO A SPECIALIST. THIS KEY CARE PLUS HEALTH PLAN IS PATHETIC ALONG WITH THE SERVICE ONE RECEIVES FROM THE AGENTS AS WELL! THEY KEEP REPEATING THEMSELVES WITHOUT BEING ABLE TO ANSWER THE QUESTIONS BEING ASKED!

I'M TOLD BY THE AGENTS LET THE DOCTOR PROVIDE MORE INFORMATION ON THE REQUEST FORM AND RESUBMIT AGAIN. THE DOCTORS DOES THAT, YET ITS STILL NOT GOOD ENOUGH, BECAUSE NOW MORE INFORMATION IS NEEDED!

TIRED OF THIS BACK AND FORTH I'M PAYING FOR A SERVICE I CANT EVEN USE, WHAT THE HELL IS THE USE OF HAVING IT!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!