HD
Hoosain D

1 reviews | Active since Jan 2018

25 Jan 2018, 16:35

Claim got approved upon admission then rejected 2 days after operation.

Hi

I am extremely disappointed in the service I am receiving from Discovery at the moment. Pay so much money but no value, absolutely zilch!!

I admitted myself at Constatiaberg hospital on the 15th Jan 2018 after my GP diagnosed me with pilonidal abcess. Upon admission I received an email from Discovery saying that the procedure had been approved. I had the operation done later that day based on the approval I received and was discharged the following day.

A few days later I get a letter from the anesthesiologist saying that the medical aid rejected the claim!

Why on earth wasn't this claim then rejected in the first place?!!

I received a huge bill from the hospital and doctors that I need to pay. Discovery covered absolutely nothing! Not even my overnight stay at the hospital!

I cannot pay for the procedure as it was given the green light when authorization was initially done.

I spoke to both Discovery and the hospital and they are both refusing to take responsibility for this.

I will not be paying for anything! Discovery needs to bring their part! I feel like my premium every month is going to absolute waste!!

0
Replies (3)
Discovery Health
Discovery Health's reply26 Jan 2018, 07:34
Official

Dear ***

Thanks for bringing this matter to our attention. We’ll look into it and be in touch with you soon.

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply26 Jan 2018, 07:35
Official

Dear hoosain-dalvie

Thanks for bringing this matter to our attention. We’ll look into it and be in touch with you soon.

Regards
Discovery Health Servicing Team

Discovery Health
Discovery Health's reply29 Jan 2018, 14:50
Official

Dear hoosain-dalvie

We have sent you an email. Please check your inbox.

Regards
Discovery Health Servicing Team