1 reviews | Active since Oct 2021
Discovery Approved My Procedure, Then Declined It After the Operation
am extremely disappointed with the service I received from Discovery.
My medical procedure was approved under authorisation number ***4. I confirmed this beforehand and even contacted my doctor’s rooms multiple times to ensure all the procedure codes were correct.
Despite this, I received an email after the operation was already done informing me that the claim had now been declined. There was no phone call, no prior communication, and no attempt to notify me before the procedure took place. Only an email after the fact.
This is completely unacceptable. How can a patient be given approval, go through with the operation based on that approval, and then be told afterwards that the claim will not be covered?
I do not have the financial means to pay for this out of pocket. This defeats the entire purpose of having medical aid.
I am requesting:
An urgent review and reinstatement of the approval,
A clear explanation of why an authorised claim was reversed, and
Clarification on why I was not informed before the procedure.
This situation has caused significant stress and financial worry. I expect Discovery to resolve this matter as a priority.
