AK
Anneliese K

1 reviews | Active since Jun 2021

12 Nov 2021, 18:38

Useless coverage

I have had absolutely awful cover from Discovery since the get go. I had some simple, basic blood tests done in September to make sure I won't be negatively affected by chronic medication. I was charged by PathCare for the test (they always give me great service and I never have problems with them), but Discovery retroactively declined cover. I reapp**** for cover for the tests, but received of feedback (I did this another 2 times, both without any feedback). I managed to phone through to them on Tuesday 09 November and was given a new email tp mail my claim to, which I did. I phone Discovery today to ask what the status is on my claim, only to be bluntly told the blood test was "out of hospital" and therefore not covered. No-where on my plan guide does it say that blood tests are "out of hospital" and need to be covered out of my own pocket - the solution offered by the telephone consultants was to upgrade to a more expensive plan. Really? Is this so they can pay R23million a month for lavish headquarters in Sandton while sitting on R27billion in reserve? Why can't Discovery cover basic blood tests prescribed to my by a doctor and a psychiatrist - part of the tests are to make sure I won't be affected by a chronic condition, simply because it's not an emergency? They refuse to cover basic medical procedures, despite the national health insurance bill compelling them to cover basic medical procedures.

0
Replies (3)
Discovery Health
Discovery Health's reply15 Nov 2021, 07:03
Official
Dear Anneliese K

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

Best regards,

Discovery Health
Discovery Health's reply16 Nov 2021, 12:55
Official

Dear Anneliese K

We’ve responded to your complaint.

Regards 
Discovery Health Servicing Team

Best regards,

AK
Anneliese K's update14 Dec 2021, 12:23
Reviewer Update
Discovery phoned back and explained the process and how to correctly amend it and asked me to resubmit, which I did with no hassle. Since then I have gad to follow up twice a week to find out what is going on and am still waiting for my payment.
This is causing me stress and wasting so much time on a very simple payout.
This has apparently been forwarded and escalated and escalated and only today, after over a month of the problem being "fixed" are they making the payment from their side.

If I could rate them 0 on here I would, but unfortunately the lowest rating I can give is 1 star. I am literally only using Discovery, because we have on other choice from my workplace.