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Discovery Health / keycare benefit option is rubbish

1 South Africa Review updated:

Don't be fooled by Disovery Health and their Keycare benefit option. This medical aid plan hardly pays for any medicines (as prescribed by a rather small medicine formulary) and procedures. The only thing they will pay for is a doctor's consultation...I'm too scared to think of what will happen if I have to go to the dentist. Be careful...I didn't claim from my Keycare benefit for an entire year and this year (2012) when I got bronchitis and eczema, the medical aid refused to pay for all four medicines that I was prescribed by a keycare (designated service provider) doctor/general practitioner that I am compelled to visit, due to my medical aid plan. I have sat the entire day fighting with the unfairness of a medical aid to which I religiously pay my monthly contributions (on time, evenry month) and yet they decide to NOT pay for a medicine claim that came to R115.63. Be vigilant, be careful as to how you will go about choosing your medical aid and cover and what you are entitled to vs what you originally thought. They have also changed the medicine formulary for 2012 and have taken off a number of medicines (common, vital medicines, including antibiotics) which are necessary and commonly prescribed forms of medicine to patients with common conditions such as colds and flu. Be careful and take care, stay healthy, choose wisely

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  • Ab
      20th of Jun, 2018
    0 Votes

    I am rather impatiently waiting for someone who has a vestige of Client Interaction to call me from Key Care Plus, and I will then separate the men from the boys!

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