MM
Monique M

1 reviews | Active since Aug 2015

23 Sept 2018, 09:53

Unlimited hospital cover is a sham - Discovery only cares to make money out of clients.

Discovery health - does not care about the well being of their clients at all. They are just in it to profit of customers. The unlimited hospital cover that discovery advertises - is a sham.

Friday. the 21st September, I was diagnosed with a very serious chronic condition, My specialist sent me for admission so that he could start treatment immediately. Discovery set my application to "pending" which means that I could not be admitted unless I paid R30 000 upfront, (isn't the point of medical aid to insure yourself from having to pay monies upfront in emergencies???) I waited in reception for 6 hours before heading home because I was told that the panel that needs to review my application will only only get to it next week, after the public holiday. My Specialist was upset and advised I go to casualty should my condition worsen over the weekend while discovery takes their time to review my application.

P.s This is not the first time Discovery makes me wait for hours in the Waiting room while they decide if I am sick enough or not - At that point I could have had an embolism at any time and die. Maybe you need to be bleeding out of your eyes before they allow admission.

Thanks for nothing Discovery Health.

0
Replies (5)
Discovery Health
Discovery Health's reply25 Sept 2018, 07:05
Official

Dear Miss Machaku

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

MM
Monique M's update25 Sept 2018, 07:45
Reviewer Update
Hi, I trust that this is not a generic response...
Discovery Health
Discovery Health's reply26 Sept 2018, 12:33
Official

Dear Miss Mac***u

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

Regards
Discovery Health Servicing Team

MM
Monique M's update26 Sept 2018, 14:33
Reviewer Update
Thanks for calling, Unfortunately - Discovery. did not provide me with any assistance - I have already called the call center and escalated the issue. Discovery declined my authorization based off old information - nobody in the review team bothered to look at the history of my account. The authorization department sent through the wrong PMA form I wouldn't have picked up on any of this had I not called the call center. Discovery - you are dealing with people - noone asks to be sick - please pay more attention to detail when following your incredibly tedious authorisation procedure.
Discovery Health
Discovery Health's reply28 Sept 2018, 11:39
Official

Dear Miss Mac***u

Please check your emails for final feedback from us.

Regards
Discovery Health Servicing Team