SK
Salome K

1 reviews | Active since Feb 2012

13 Mar 2024, 16:43

Disability PMB

How is it possible, to receive PMB IN hospital authorization even stating to help you understand your PMB and get the most out of it and a PMB pamphlet attached.

I can not understand why suddenly I must submit a dr report and PMB application as proof of my PMB condition when applying for PMB OUT of hospital authorization.

It is not a question of suddenly I did not have a PMB condition after been hospitalized. Due to my brain injury at birth, I always WILL be disabled.

This is a brain injury at birth so when I used the icd10 code g80.2 in the past all my claims had been paid.

Discovery even pay for my botox under code G80.2

I did not had to re apply for my Bipolar PMB which also is an ongoing condition or had to proof I still am Bipolar why must I submit proof of my more serouis brian injury.

Pay a doctor to confirm I still am disabled after birth is money waste and ridiculous when Discovery acknowledged my PMB in a formal hospital authorization letter.

First time in my life I had such a silly request. I was a Bonitas member for more than 12 years and never had such a request to apply every year for my disability.

I lately has so many issues with Discovery wrt my disability, why?

See authorization letter dated 7 February 2024 wrt PMB authorization

0
Replies (2)
Discovery Health
Discovery Health's reply14 Mar 2024, 05:57
Official
Dear Salome K

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 reply14 Mar 2024, 17:09
Official
Dear Salome K

We have been in touch with you to answer your comments.
Regards
Discovery Health Servicing Team