nD
nikita D

1 reviews | Active since Jun 2013

11 Jun 2025, 15:01

Very disappointed

Discovery Medical Aid – Extremely Disappointed

I am beyond frustrated and disappointed with Discovery Medical Aid. I pay every month for coverage for myself and my children, but when it actually comes time to use the benefits we’re paying for, Discovery consistently lets us down.

Every time I visit a doctor, need blood tests, or get referred to a specialist (with a proper referral letter), Discovery declines to cover the costs. Their go-to response? “Take NSAIDs.” It doesn’t matter if a legitimate medical professional has referred me for further investigation – Discovery finds a way to avoid paying.

I’ve had severe ankle pain for over 12 weeks and have visited the doctor multiple times. Most of those consultations haven’t been covered. I’m now struggling to walk and still, Discovery refuses to assist, repeatedly giving the same generic advice with no real support or solutions.

When you question them, they simply say a doctor has reviewed it. But how can a doctor who has never seen me, doesn't know my medical history, and hasn’t examined me override the judgment of the doctor who has? My GP wouldn’t refer me for unnecessary treatment – she knows my condition and what’s needed.

Discovery, your service is pathetic. I am in pain, unable to walk properly, and you are doing nothing. What exactly am I paying for every month if I can’t get the medical help I need?

0
Replies (4)
Discovery Health
Discovery Health's reply12 Jun 2025, 06:54
Official
Dear Nikita D

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
nD
nikita D's update12 Jun 2025, 13:31
Reviewer Update
No contact from anyone. You guys have however commented on my husband's message

Hi Jean-Pierre,

Thank you for your patience.

Please be advised that our team has provided the member with feedback regarding the decision and outlined the next steps they may follow based on the outcome communicated.

Kindly note that, in line with the Protection of Personal Information Act (POPIA), we are unable to disclose any further information. Discovery Health maintains strict confidentiality agreements with all members, which prevents us from sharing personal, medical, or financial information without the member’s explicit consent.

Should you wish to access information pertaining to the principal member, we kindly request that you complete the consent form available on our website via the following link:
https://www.discovery.co.za/medical-aid/digital-form-third-party-permissions

We have confirmed that direct feedback has been communicated to the member across various platforms. While we acknowledge that the member may not agree with the decision, please be assured that all reviews are conducted in accordance with established protocols and processes.

We remain committed to supporting the member with any further assistance they may require, as they are highly valued.

Kind regards.



I have a Doctor's Referral letter and I have been to her multiple time for treatment how is the Specialist denied. I need treatment. Why do I pay for medical aid it the won't cover the costs we pay for.
nD
nikita D's update12 Jun 2025, 13:32
Reviewer Update
You also say direct contact has been made with me... When not 1 single person from discovery has made contact.
Discovery Health
Discovery Health's reply12 Jun 2025, 17:50
Official
Dear Nikita D

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

Regards
Discovery Health Servicing Team