What do we pay for?

Discovery Medical Aid: A Second Review - Exclusions and Empty Promises

This is my second attempt to voice my frustration with Discovery Medical Aid. Months of battling have left me wondering why we bother paying premiums and what exactly we're paying for.

I'm astounded that a company can accept monthly payments and then flatly refuse to cover most medical expenses.

My previous complaint questioned their policy on exclusions and how Discovery conveniently uses it to avoid paying claims. It's worth noting that the surgeon who performed my wife's operation confirmed in writing that it was unrelated to any exclusions. Discovery's response? They "feel" it was related. It's laughable to think they know more than the actual surgeon.

Now we're stuck with mounting hospital bills, with more on the way, as Discovery attributes everything to "exclusions." They even told my wife her maternity benefits don't apply because she miscarried. This is beyond insensitive and unacceptable.

So, thank you, Discovery Health, for taking our money every month and then refusing to pay for 80% of everything. Your lackluster responses on this platform offer false hope of resolution, only to be met with the same excuse: EXCLUSIONS!