Consumer Watch: Discovery decline to cover special food for terminally-ill twins | IOL News

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Medical aid told family that there is no cure for their boys' condition and so it’s not financially viable to fund, writes Georgina Crouth.

They’re probably two out 20 children in the world with a degenerative neuro-muscular condition that destroys the intestinal system. They cannot eat normally - if they do, they experience excruciating pain and discomfort. Their bodies cannot absorb nutrients, so the only way to feed them is enterally - through the stomach.

And then there’s the team of specialist paediatricians: a gastro-enterologist, pulmonologist, rheumatologist, surgeon, cardiologist, physiotherapist, biokineticist and specialist dietician. Discovery told the Sims there is no cure for the condition and so it’s not financially viable to fund. “They cannot take them off the Neocate feeds, as they will die, yet Discovery states they are currently not malnourished, therefore they do not cover the Neocate feeds.”

Initially, Discovery declined their applications, saying it’s not a “prescribed minimum benefit ”, which is a set of benefits that all schemes are legally obliged to fund. This includes any emergency medical condition, 270 medical conditions and 25 chronic. “Our doctors are horrified that Discovery will not listen. They will not even listen to these highly specialised doctors. The only way you can cure cancer is with chemo; the only way you can keep my boys alive is to feed them.”

Source: Healthcare Press (healthcarepress.net)

 

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GeorginaCrouth Why is any sane person still on Discovery? It's like taking a gamble with yours or dependents' lives with this parochial and somewhat patriarchal medical aid

GeorginaCrouth Discovery_SA let me down too. They will take your money but won’t stand by you in a crisis. Nearly lost my wife because of them. They find any excuse not to fulfill their obligations.

And where is the Public Health system in this? Can they help? Answer: also a no 🤷🏼‍♀️

Capitalist system is shit

Disgusting attitude!!!!

News24 Beeld_Nuus RapportSA

Typical of Insurance companies - always looking for a reason not to pay up.

Typical Discovery way to deal with their clients. Discovery is only viable when receiving money, not the other way around.

does Discovery now play God ?

But their CEO can afford a multi million apartment in Manhatten. It's shameful.

Sorry Discovery_SA but forcing people to stop feeding their kids so you can once again pay for their nutrition is cruel! Does Discovery not cover palliative care? Should we all be reconsidering our medical aid choices? 🤔

So Discovery please explain why you pay for chemotherapy for terminallly ill cancer patients?

These bastards can build a building that costs billions and pay massive bonus , you disgusting , if there was a viable alternative to discovery I would leave the next day , just because that attitude , fightlikeamom

That’s terrible, Discovery REALLY!!!🤷🏾‍♂️

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