LvdM
Lauren van der Merwe

1 reviews | Active since Dec 2016

01 Jan 2026, 14:40

*********** *******

Incorrect medical claims processing

I received a call from Discovery saying that they had made a processing error with my claims between Jan–Dec 2025. Because of their mistake, they paid more than they should have from my benefits — and after “reprocessing” everything, I now apparently “owe” them around R19,9k that I need to pay back.

The incorrect allocations on Discovery's side depleted my available funds much sooner than they should have. If the calculations had been done correctly, I would have still had funds available for subsequent claims - which I did not.

This is completely ridiculous. How did it take a year for this to get noticed. Now I am just expected to pay this back, yet I will not get refunded for claims not approved due to their error.

0
Replies (2)
Discovery Health
Discovery Health's reply02 Jan 2026, 07:05
Official
Dear Lauren V 

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 reply05 Jan 2026, 13:08
Official
Dear Lauren V 

We have been in touch with you to answer your comments.

Regards 
Discovery Health Servicing Team