BAD SERVICE FROM DISCOVERY HEALTH

I had a dental procedure done on 24 October 2024. A quote was sent to Discovery and they "offer" an amount for the procedure. After the procedure Discovery only paid a very small portion of the amount. Although I am on Classic Comprehensive, no need for pre-authorization for a day care hospital. I had an authorization number from the medical aid because the day care hospital requested it. Surprise! A day after the procedure I received a letter that Discovery declined payment due to NO authorization.

I paid more that R100 000 myself for the procedure - I have contacted Discovery numerous times to get information on the Threshold of R105 000 available to us. Until today NOBODY explained when this amount can be utilized for medical expenses. If you log a query, a different consultant will contact you and you need to explain the whole situation. The worst is, we NEVER EVER abused Discovery medical aid! No personal contact with a consultant is available to assist.