Discovery

Once again if I could give a minus rating I would. I was diagnosed with a chronic illness on the 12th February 2024 after having tests done on the 6th February and which was approved by Discovery on the 19th February. In the approval correspondence received from them I was advised that I could claim for any tests/consultations required in the diagnosis if I was a member at the time of diagnosis which I was. Have now been struggling to have this claim approved since then, keep on getting advised incorrect code. For 2 months I continued to try and get the correct icd10 code and resorted to sending the CEO an email. On the 2nd April I received a phone call from Gabriel stating that he has once again escalated the query. On the 3rd April I received another call when I was eventually given the icd10 code, was also advised that they would send this through to the claims dept and she would contact me, which of course she has not done. On the 15th April I sent another email and once again all I get is the normal response of " we have received your query and we are aware of the urgency of your query and one of our Client Relationship Manager's will attend to your request either via email or telephonically". I received an email on the 17th April to say it had once again been referred. It appears to me that they are trying to resist refunding this as long as possible maybe to then refuse to pay as past the time period for claiming. Makes one wonder if that is how they have increased their minimum reserves, as required by government, of 25% to 29% , specially as medics aids are supposedly non-profit