Total refusal to pay administration (infusion fees) for Cancer treatment

To whom it may concern.

If one was allowed to put a zero star rating we would have, unfortunately you have give at least 1 star. The treatment received from Discovery today has been disgusting. Discovery contacted the main member post the first hello peter complaint. The reason provided was absolutely shocking. It appears Discovery are obstinate regarding their stance on this matter. They noted they are not covering administration as it’s not a compassionate program It was conceded that Discovery is not liable to pay for the Immuno-therapy as it is not covered by the current plan. This was fully accepted, the main member opted to pay for the Immuno-therapy treatment personally due to the high PDL1 levels of 90%. This treatment is extremely costly might I add. Nevertheless our grievance is with Discovery for declining and refusing to pay the administering (infusion fees) of the Immuno-therapy (Keytruda) even though she has available oncology benefits which funds the administering of chemotherapy in the same way in which the Keytruda is administered. I must add if the patient opted for chemotherapy these administering (infusion) fees would have been covered by Discovery in addition to the chemotherapy fees. By the patient opting to fund the immuno-therapy treatment personally, Discovery is actually saving money and the only current request is for Discovery to fund the administering (infusion) fees Unfortunately all medical aid members are at the behest of their medical aid and we feel it’s about time the members voiced their concerns and frustrations. It's difficult to understand why Discovery is refusing to pay for the admission of the Immunotherapy. It would appear they are trying to get away without paying anything towards this treatment. Discovery’s response to date in this regard has been absolutely shocking. Discovery portrays themselves as the market leaders in the SA medical aid offering, but when the time comes to treat their customers fairly they fall short. It appears they are purely worried about the numbers instead of the patients themselves. This seemed to be proven in the recent case of the KZN patient who was not allowed treatment due to Discovery refusing to pay her claims.. (http://www.702.co.za/articles/352828/discovery-acted-*******ly-and-a-patient-died-medical-law-consultant).. Awaiting your urgent reply and attention to this matter. We request a call back from a senior manager / executive and not a call center agent who cannot make a decision or offer any real solid evidence as to why Discovery is refusing to pay any cost towards my treatment. Regards Yusuf Mather (main member)