KT
Kagiso T

1 reviews | Active since Oct 2024

01 Oct 2024, 01:23

Worst experience EVER

Hi my name is Kagiso Tlhoaele, a member on the discovery medical aid scheme under key care plus plan option.

I am disgusted and beyond disappointed with this herendous inhumane and unjust treatment I have recieved from Discovery health.

I called discovery to change my start date from 1st Oct to 1st Sept 2024 on a Saturday afternoon. I spoke to Simpiwe from their call centre and he confirmed that he was unable to help with my query on the weekend and he had to refer my request to Discovery underwriting department,which will only be able to provide feedback to me on Monday.

Simpiwe did not call me back on Monday as promised. So I proceeded to call Discovery to query my request.

One of the consultants I spoke to from discovery confirmed to me that my request to ammend my start date to 1st September had been approved and my medical aid and benefits are now active for me to use. She even sent me a confirmation on email highlighting I now have active cover.

I was hospitalized at Medforum hospital on the Monday later that afternoon, after the hospital even sent a request for authorisation to Discovery that I had to be admitted into hospital and Discovery approved.

I did XRays and a Mammogram at Medfor, followed by a consultation AND a small operation to insert a catheter into my bladder excited by a Urologist at Medforum on the Tuesday following admission.

When discharged and given a script for pain medication aswell as important antibiotics to collect at the Dischem in the same hospital, I was told I have no active medical aid. So I couldn't get my medication all the meantime having a painful catheter in my abdomen and sent home in pain.

I called Discovery back, to find out what the issue was, and I was told they (Discovery) had made a mistake on their side and reversed their decision to change my start date. No call, no email, nor text to notify me of such.

Now I have a catheter stuck inside of me and can't get an appropriate specialist to remove it, that's 1.

2. I have a huge medical bill from Medforum hospital, including the XRay department aswell as the Urologist who assisted me with the operation. I am being harrassed by the hospital to pay these monies all because Discovery ****ed up my medical aid coverage and put me as well as Medforum hospital and their staff under the impression that I have active coverage which was confirmed BY DISCOVERY THEMSELVES.

I have been promised feedback by various employees from Discovery including the Customer Relations Manager Nwabisa. I have spent hours holding on the phone in their call centre, I have lost out on work hours trying to resolve this monumental flop by this insurer, to add injury to insult I have a catheter stuck inside me as we speak and can't get help any where, top it all off I am getting calls EVERY OTHER MINUTE of the day from debt departments regarding my hospital bill that discovery failed to pay.

If anyone who can help please I would appreciate your assistance, because this disaster of a medical aid scheme has put me in a tremendously bad situation. My contact number is *** Regards,

Kagiso Tlhoaele

0
Replies (2)
Discovery Health
Discovery Health's reply01 Oct 2024, 06:51
Official
Dear Kagiso T

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 reply02 Oct 2024, 12:58
Official
Dear Kagiso T Please check your emails for feedback from us. Regards
Discovery Health Servicing Team