cS
cathy S

1 reviews | Active since Feb 2019

20 Feb 2019, 17:54

DO NOT GO WITH DISCOVERY

This is to warn young individuals who are considering taking out life insurance.....DO NOT GO WITH DISCOVERY! They are the worst company, very **********, poor services, unprofessional staff and as no intention of honouring their policies.....it is all about the profits and bonuses. You may think you are covered for unforeseen sickness when you are older but this is not the case. My partners took out a life policy with Discovery in his twenties; at the age of forty he was diagnosed with various autoimmune diseases, he as been to multiple specialists, been in and out of hospital. He is on a long list of medication that have alot of side effects and adverse effects on his body/organs. Their is no cure for his condition, Discovery even put him on a trial drug which had adverse effects on his body. He has not been able to work for above two years; his policy covered these condition under server illness. He logged a claim with Discovery which is going on since 2017....i can not even explain the unprofessional and disgusting treatment he as received by the employees that are handling his case. You have to constantly send reminders, just to get feedback; the feedback given is also very unprofessional. They were even refering to an incorrect claim when providing feedback. In short.....they realised how sickly he was due to the medical evidence provided. They confirmed they will consider him for capital disability but he needed to go to their occupational the****** and then fill out an ADL form...yet for capital disability their policy states they will only assess on occupational duties and not ADL. Once you fill out the ADL which is not even explained to you and is opened for interpretation; they then put a private investigator (violating your constitutionally rights) to follow you, to basically catch you doing one of the items which you mark having difficulties doing. They then went on to sending a rejection letter cancelling his policy which he has had with them since his twenties stating he provided false information and that they had video evidence of him doing an activity, he advised he had difficulties with on his ADL. They ignored all the medical evidence that was sent to them since the claim was logged, all the medication and side effect he endures and the facts about his diagnosed conditions. They cancelled his policy knowing how sickly he was due to all the medical evidence they have; especially since he as his medical heath policy with Discovery as well and they have access to all his records. Even to change his medical aid now would be difficult due to all his preexisting conditions. They based their decision on one activity from his ADL, yet this has no baring on his occupational duties and what is required for him to perform his duties. People that suffer with autoimmune diseases have no control or can not predict how their body/mind is going to be for that day, the side effects of the medication they are on makes their mental state even worst and the adverse effect on their body organs reduces their life span. Their is no cure, their health just dimineshes, their quality of life goes down hill and they basically have to live on meds just trying to get by. I can not even describe the mental state his condition and the medication has left him in and to top things off how stressfully it as been due to Discovery unjust treatment. DISCOVERY has left him in a very horrible situation....he is too sickly to take out cover with another insurer....so he is left with no cover yet he supported Discovery for so many years. Although he tried to question them about their unjustified decision, they ignored his queries and handed him over to their lawyers, although his case as not even been to the ombudsman. His sickness as put him is a really bad financial situation, which Discovery is aware off.

On speaking to others about his case and how he has been treated by Discovery....alot of people seem to have similar experiences. We have a few lawyers and judges in the family who say he as a really good case; looking at the medical evidence, unjustified decision and poor response from Discovery.

His case has a long way to go....seems like we have to go the legal root which we were hoping not to has this can be costly....but we have no option. Discovery is a company that is not willing to honor their policy, they are not a fair company you basically have to have alot of funds and resources available to fight for your rights.

So when you are young and heathly, you take out a policy trusting you are covered should you be in an unforeseen situation but when you are older and sickly, your policy is cancelled by insurer for an unjustified reasons.....now this is DISCOVERY and how they treat their customers.

So I would highly recommend that you DO NOT GO WITH DISCOVERY.

Do your research and find a reputable company.

0
Replies (4)
Discovery Life
Discovery Life's reply21 Feb 2019, 14:21
Official
Dear Cathy S 

Thank you for your post.

Your complaint has been escalated to our Claims Management team, who will respond directly to you.

Regards

Precious 
DISCOVERY LIFE

cS
cathy S's update21 Feb 2019, 19:19
Reviewer Update
Precious, I would appreciate it if someone senior from the complainants department will contact me as the issue is with your *********** claims department. I need feedback on the below: 1. Why is medical facts being ignored? 2. Why are they referring to a claim logged in 2016, when his claim was only logged in 2017? 3. Why was his policy cancelled based on false allegations...no case was open or charged brought against him? 4. Why was his constitutional rights violated by Discovery? 5. Why was his case handed over to your lawyers when this as not even followed the correct process...are we bypassing the ombudsman? 6. Why was the ADL form not explained to him, as this questionnaire is open to interpretation? 7. Why don’t your claims department want to answer queries about their feedback sent that makes no sense? 8. Why did Discovery approve for him to go on a trial drug if they did not think his condition warranted this? 9. Why did Discovery then go on to delay his claim stating they was waiting the outcome of the trial drug? 10. His diagnosis and condition was confirmed by multiple specialist; the evidence is on his MRI scans and other test done....but Discovery chooses to ignore this???? 11. Discovery has a list of all the medication he is on but chooses to ignore the side effects and adverse impacts? 12. Does the people handling his claim have any medical qualifications to even understand his diagnosis and how this impact the quality of his life? He as just been for another operation and the medical evidence and reports from his Neurologist explains the detoriation of his health and the impact on the quality of his life. He’s claims as been dealt with in a very unprofessional manner; the employees handling his case seem to be ***********; their response and feedback is extremely poor.....this needs to be addressed by someone senior in your Complaints Department or company. Someone with integrity needs to look into this! The unjustified treatment is not fair.... he was a customer of Discovery for so many years and now that he is really sick with multiple conditions that as no cure....Discovery chooses to cancel his policy with no valid reason and refuses to respond to his queries to understand why? This is not how people should be treated....don’t look for loop holes....look at the medical facts!
Discovery Life
Discovery Life's reply22 Feb 2019, 08:16
Official
Dear Cathy S 

The Claims Management team will respond directly to you in this regard. .

Regards

Precious 
DISCOVERY LIFE
cS
cathy S's update22 Feb 2019, 11:36
Reviewer Update
Hi Precious, your claims department responded to my partner to speak to their attorney. They are refusing to provide feedback to simple queries raised about his claim above. They are refusing to provide clarity on any concerns he raised. The unprofessional manner in which Discovery customers are treated by your claims department is disgusting....no decency to provide feedback or clarity to simple queries. Not even a simple call or meeting to explain things! The sad part about this is that their is no escalation process within Discovery to resolve this....the complaint department just refers you back to the department or person the complaint is about. The services from Discovery is really pathetic! It’s really sad to see how Discovery treats their customer! I guess if you are a Discovery Life policy holder......,you should save up money for a lawyer as well and be prepared to fight for your rights in your extremely sick condition and be prepared to drag your family to this really stressful situation! Well, I’m the family that bears the brunt of this....so you can imagine my disgust towards Discovery! I would not recommend individuals taking out their life policies with Discovery....when you older and sickly....you and your family are doomed!