CP
Chantal P

1 reviews | Active since Jul 2016

31 May 2021, 09:18

WITHHOLDING TREATMENT FOR MY SON!

My son has his medical aid with Discovery and is on the very plan that Discovery INSISTED that he have in order to get his treatment for his Chronic condition which, is approved by Discovery. Every year he needs a scope to monitor his condition. Every year we fight to get his treatment approved. This year, Discovery have stated that this procedure, which has been done for the prior 4 years in hospital, must be done in the Dr's rooms as this is the new "trend'. Failing which, I have to pay R 6800 up front to the hospital. There is no other manner in which to monitor his condition which Discovery is now making impossible. His specialist, for what I am sure are sound reasons, does not do this procedure in his rooms and I do not have these funds. So not only is my son being denied treatment, according to Discovery I must now also find another specialist. Both this specialist and the hospital are contracted in and as such, meet the criteria for treatment. The specialist that they want me to use will most probably be contracted out and probably, beyond my affordability. I have also been told that should the scope come back clear, which coincidentally, is the hope given that my son has been on extensive treatment to put the disease in remission, I WILL NOT be refunded the up front payment as according to Discovery, we have, I assume, wasted their time and money. My son has spent the entire duration of his treatment fighting for his life and treatment which Discovery measures against their profit margin! This time,Discovery have taken this to a whole new level!

0
Replies (5)
Discovery Health
Discovery Health's reply31 May 2021, 11:34
Official
Dear Chantal P
 
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 
CP
Chantal P's update31 May 2021, 13:02
Reviewer Update
I would appreciated that! My son has to have a COVID test prior to this procedure and until this is resolved, we cannot do anything! Please treat as a PRIORITY as this has been going on since last week.
CP
Chantal P's update01 Jun 2021, 10:27
Reviewer Update
I HAVE STILL HEARD NOTHING FROM YOU! THIS HAS BEEN GOING ON SINCE LAST WEEK AND THIS COMPLAINT HERE WAS AS A LAST RESORT! JUST SHOWS HOW MUCH DISCOVERY ACTUALLY CARE ABOUT THE WELL BEING OF THEIR MEMBERS. I HAVE NOW HAD TO CANCEL MY SON'S PROCEDURE WHICH MEANS THAT WE ARE NOT ABLE TO MONITOR HIS CHRONIC CONDITION, THE VERY CONDITION FOR WHICH I PAY AN INSANELY LARGE PREMIUM TO YOU EVERY MONTH !!!!!!! WHAT IS WRONG WITH YOU PEOPLE THAT YOU ARE SO FLIPPANT ABOUT SOMEONE'S HEALTH????? WE HAVE SENT REFERENCE TO HIS BASKET OF CARE WHICH CLEARLY STATES HE IS ENTITLED TO ONE SCOPE/YEAR, A LETTER OF MOTIVATION FROM HIS SPECIALIST AND STILL...... WHITE NOISE! NOTHING! THIS TREATMENT TOWARDS MY SON IS ********!
CP
Chantal P's update18 Aug 2021, 11:44
Reviewer Update
You did no such thing. You merely pointed me to the plan wording! Further to that the consultant that I spoke to , and I quote "Many people have these procedures in the consulting rooms, I myself have done a few of these today" ... my question! Has SHE had this procedure? I am battling to understand how one, when fully awake , handles pipes going into their mouth and what what whilst fully conscious! What happened was another consultant merely pointed out that we could access the daily savings and kindly sent a letter to this effect. I myself personally, would like all management involved in this decision to undergo this treatment themselves in a Dr's rooms and see how that makes them feel! For over R 6000 a month I would expect the courtesy of the patient being able to chose which procedure bests suits them without causing emotional damage without Discovery putting them profits ahead of their patients! Shocking!

CP
Chantal P's update18 Aug 2021, 11:45
Reviewer Update
* their profits ahead