MG
Morne G

1 reviews | Active since Aug 2020

13 Jun 2025, 10:33

WHAT EXCUSES ARE NEXT

I was admitted to hospital in May for an Asthma attack and Dr then disagnosed me with adult hood asthma - Dr treated me in hospital Dr said he will put me on treatment and see if it works and then if I have a follow up consult with him on 2 June he will complete chronic forms etc if it works and put me on medication that works for me - I had to pay cash for the consultation R1280 - Dr rooms advised i should then claim from the medical aid.

my forms were signed and left with the Dr to submit to Discovery - on 6 June my application was approved BUT Discovery refuses to pay back my consultation AND there is a short payment for the tests done to see if the medication worked - I called today and spoke to Ref *** Zukiswa

she advised that I should have app**** for chronic when I was admitted to Hospital in May!!! WHATTTTTTT?????????? and that it wont be back dated as it was apparently no delay on Discovery WHATTTTTT?

- since when is Discovery the Dr to decide when and what medication? you have the records you can see I was admitted for asthma related events in May - now I am being penalized and put in a negative impact situation with a bill that is actually related to the event but I have to pay it??????

In accordance with the Medical Schemes Act 131 of 1998, and principles of administrative justice and equitable healthcare access, we submit that:

The treatment and diagnosis occurred within the prescribed clinical framework. The delay in registration was medically advised and procedurally explained. The member acted in full compliance and good faith at all times. The cost of chronic medication paid during the trial period was due to an administrative and clinical process, not avoidable neglect, or delay by the member.

I find the excuses of Discovery no longer entertaining and request that management steps in to get this resolved so I can get this off my back or give me a letter to confirm why and I will refer it to the Medical council for assistance - I am fed up with the excuses now!!

to top it all I sent the email on 5 June - first when my wife called on 6 June it was said I should have sent it on 2nd june after the consult - now when i called to follow up on email sent 5 june which I didnt get reply I am being told u cant backdate

0
Replies (3)
Discovery Health
Discovery Health's reply13 Jun 2025, 12:55
Official
Dear Morne G
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
MG
Morne G's update20 Jun 2025, 08:05
Reviewer Update
STILLLLLLLLLLLLLLL NO UPDATE FROM DISCOVERY - Must say I didnt expect any
these days people should just accept the 2 to 3 days turn around time as an excuse!!

CAN I HAVE FEEDBACK???????????????

or do u need another 2 to 3 days - BAD EXCUSES DISCOVERY!!
Discovery Health
Discovery Health's reply30 Jun 2025, 10:49
Official
Dear Morne G
Please check your emails for final feedback from us.  Regards Discovery Health Servicing Team