HW
Hermine W

1 reviews | Active since Sept 2019

31 Dec 2022, 20:12

Uphill battle with Discovery Health

It has been an uphill battle since February to get a medical bill paid by Discovery medical aid.

I hardly use my medical aid, and in February went with my son who was at the time 2 years old having a terrible cold, long story short my son had to be admitted urgently for hospitalization.

What doctors though to be Covid at a severe form and went for the critical treatment with Polygam to get my son's immune system stronger, this before final tests results was available, Discovery is just refusing to pay for this treatment, regardless that in Hospital treatment is suppose to be covered by my plan.

I have send reports, medical results, clinal reports as to why the doctor went a certain way, this after Discovery advised this is what they need, but with no luck, I am just send from pillar to post and eventually been handed over for a very expensive treatment, whom I had honestly no idea the specific medication to get my son better might be rejected.

Discovery medical aid, I should honestly think that you would take in consideration the history that I specifically have, that in the years of having been with you, I hardly claim for any expenses even though you still get monthly our contribution to the fund, and that this treatment was a once off necessary treatment between life and death of my 2year old son, and that R15507.00 you could honestly cover, but seems you as Medical aid is just out to get the monthly contribution and pay the minimum.

I should also mention that on this day with a 2 year old with a consistent fever of 39degrees you first rejected our hospitalization authorisation as you revered to it not being a medical emergency as we did not go through the medical emergency ward, even when then emergency doctor authorised our case to be assisted by the Pediatrician whom we visited to assist with the said emergency.

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Replies (2)
Discovery Health
Discovery Health's reply03 Jan 2023, 06:49
Official
Dear Hermine V

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 reply03 Jan 2023, 13:05
Official
Dear Hermine V
 
We have been in contact with you to discuss your query.
   
Regards
Discovery Health Servicing Team