ES
Ester S

1 reviews | Active since Sept 2025

09 Sept 2025, 09:29

Very Unhappy - Misinformed

The Personal Health Pathways is not working properly. They sent me for a mammogram and the flu vax at the same time. They didn't do research. It cannot be done together. I went for the fax first and a few days later I went for the mammogram. The mammogram showed swollen lymph under my arm. The Dr said it is most probably due to the vax. It was noted in the report as such. I had to go back 3 months later for a check up sonar, which was also fine even though I had to travel 80km to a preferred supplier again. All was normal. Then the BUMMER. Discovery refused to pay for the follow up sonar! They paid it from my medical savings account! And this was no fault of mine. I'm not the medical expert here, they sent me for the two things at the same time. No I have to pay for it. So due to their error I had to pay R1 614.70. I took this up with Discovery and they requested I send them the proof (scan reports). I sent them both reports, the first and second visit, which clearly states it was due to the flu vax and they still refused to refund this amount to my savings account. i have always been a loyal supporter of Discovery Health for many years. But his is terrible. How can a medical aid not know this and then refuse to pay for their mistake?? Make the client pay???

0
Replies (4)
Discovery Health
Discovery Health's reply09 Sept 2025, 09:57
Official
Dear Ester S 

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 reply11 Sept 2025, 11:55
Official
 Dear Ester S 

We have been in contact with you.

Regards Discovery Health Servicing Team 
ES
Ester S's update11 Sept 2025, 11:58
Reviewer Update
So I got a call from Discovery telling me that it was my CHOICE to go for the flue vax first and then for the Mammogram. That their Recommendations are just recommendations and that it is system generated. It is not compulsorythat I go for these preventative scans.... Asked me if I declared to the radiologist that I had the flue vax... How should I know to declare it. They didn't ask me the question even. I'm not the exert in the field. I worked according to their recommendation and I still have to pay for the follow up because Discovery didn't know my body would react that way and now there is no benefit that will pay the second scan. So in other words, build a bridge and get over it!! I work in an industry where it is all about advice and client service. This is now what advice and client service got to.... Really disappointed!
Discovery Health
Discovery Health's reply18 Sept 2025, 12:59
Official
Dear Ester S 

Please check your email for final feedback from us.

Regards Discovery Health Servicing Team