KN
Kayleen N
Active since Nov 2025
7
Reviews
0
Industries
Reviews
7 reviews2 months ago
PMB Declined & R8,000 Shortfall – Infant Cardiac Concern During Admission
I am extremely concerned about how Discovery Health has handled my 4-month-old son’s hospital claim. My son was admitted to a KeyCare network hospital. During his admission, an X-ray revealed findings relating to his heart that alarmed the treating medical team. Given his age, the doctors were not willing to take any chances and urgently requested a paediatric cardiologist to assess him. The hospital does not have a paediatric cardiologist on site, so one had to be called in. This was medically necessary and based on clinical concern — not elective or optional Discovery paid the cardiologist at scheme rate only, leaving me with an R8,000 shortfall. I submitted a PMB review request together with the required scans and supporting documents. The PMB was declined. I was not informed that I could face a significant shortfall in a situation where: • The hospital is a network provider. • There was no in-network paediatric cardiologist available. • The consultation was clinically indicated due to suspected cardiac findings in a 4-month-old infant. In an urgent in-hospital situation involving a baby, parents cannot reasonably be expected to source alternative specialists or consider network implications. I am requesting: A detailed written explanation for the PMB decline, including the clinical reasoning. Clarification on how members are expected to access specialist care when no network specialist is available. A reassessment of this claim considering the medical necessity and lack of in-network availability. This situation has caused unnecessary financial and emotional strain during what was already a stressful medical admission for my infant. I request urgent review and resolution.
109 replies
3 months ago
Excellent food and service
Honestly the best place to be staff are friendly great place to be with kids
0 replies
3 months ago
Poor service
You're service has been deteriorating I've been waiting for the "ask Discovery whatsapp channel to respond" a consultant joined the chat at 12:28 it is not 12:59 and theres been no response please provide me with feedback for the following reference 11783600369
277 replies
4 months ago
Membership Suspended Despite Successful Debit Order – Serious Risk to Child
My Discovery membership was suspended for alleged non-payment, despite my premium debit order on 1 December being successful and fully cleared on my bank statement. The debit order remains active and was not reversed or returned. This suspension is due to an internal allocation error on Discovery’s side. What is most concerning is that I have an infant. Had my son required urgent medical treatment during this period, we could have been denied care because of Discovery’s error, despite payment being made on time. I have contacted Discovery and provided proof of payment, yet my membership was still suspended incorrectly. This is unacceptable for a medical aid provider and poses a serious risk to members. I am requesting: • Immediate reinstatement of my membership • Written confirmation that my cover was uninterrupted • Assurance that no penalties or waiting periods will be app**** I expect this matter to be treated with urgency.
280 replies
5 months ago
Worst service/food
McDonald's Tongaat the service is horrible the food is even worst you pay extra for whatever extra you want added to your meal/burger etc and they don't add it, bought a mocha today it tasted like milk and maybe a teas**** of cocoa wth guys absolutely horrible
0 replies
5 months ago
refused to treat emergency patient, shocking neglect
I visited Mediclinic Victoria with a 39.4°C fever, chills, body pain, and a painful breast lump. I was triaged code orange going red — a clear emergency. I’m a postpartum mother, and my GP had already tried to admit me for a suspected abscess and possible sepsis. Despite this, the hospital refused to help. I was told to pay cash of either R1900 or over R3000 excluding blood test scans which I'd also need to pay cash upfront before even being treated. While still in triage your receptionist who came to check if i was going to the cash and when I simply asked so bloods etc I'll also have to pay cash. Response was “You were made aware by Discovery before joining this plan.” That response was cruel, dismissive, and completely unprofessional. No one with a red-coded triage result and a high fever should be turned away. The staff failed to escalate, refused to contact Discovery, and ignored a clear medical emergency. Mediclinic Victoria failed its duty of care and put my life at risk. This experience was traumatic and unacceptable.
0 replies
5 months ago
Discovery KeyCare nearly cost me my life – absolute disgrace
I am a postpartum breastfeeding mother who developed a severe breast infection mastitis with an abscess and a fever of 39.8. I was triaged code orange going red at Victoria Mediclinic Tongaat — yet Discovery KeyCare refused to authorise my hospital admission. My GP tried to admit me urgently, but Discovery declined. I was left in agony, shivering, weak, and at risk of sepsis — and told that even if my abscess required surgery, it “wouldn’t be covered.” So Discovery’s message to me was clear: If you can’t afford to die privately, you’re on your own. This was not a luxury request — it was a medical emergency. Their consultants were robotic, unhelpful, and lacked the most basic empathy or medical understanding. I told them I had a 39.8°C fever and could barely move, yet they insisted I “get specialist authorisation” first. How on earth is a sick, breastfeeding mother supposed to do that from a hospital triage room? Discovery’s KeyCare Core plan is marketed as “affordable essential cover,” but in reality, it leaves people stranded in emergencies. The system is broken, and their staff are either poorly trained or completely indifferent to human life. Discovery, you should be ashamed. You put a mother’s life at risk because of red tape and fine print.
124 replies
Review Distribution
5 Star
1 (14.285714285714286%)
4 Star
0 (0%)
3 Star
0 (0%)
2 Star
1 (14.285714285714286%)
1 Star
5 (71.42857142857143%)