1 reviews | Active since Feb 2011
Discovery Approved My Surgery Then Declined It 5 Days Later – Leaving Me With a Massive Bill
I am deeply disappointed in the way Discovery Health handled the authorisation for my spinal surgery. Their actions have left me in a shocking and unfair financial situation.
Discovery initially approved the codes submitted for my surgery. Based on this approval, my surgery went ahead. Only five days later, Discovery suddenly reversed and declined the authorisation — after the surgery had already been completed and after I re**** on their approval in good faith.
This is completely unacceptable.
At no point did Discovery communicate directly with me as the patient to warn me that the approval had changed. By the time I was informed, it was too late — I was already recovering from major spinal surgery and now facing a huge medical bill because Discovery reversed a decision they had already confirmed.
Discovery now wants me to resolve the issue with the hospital, yet they were the ones who:
Approved my authorisation first
Waited 5 days
Then declined the same codes
Failed to contact me directly
Allowed the surgery to proceed under an approval they later reversed
A medical aid cannot approve a life-changing operation and then simply decline it afterwards. This has placed immense emotional and financial pressure on me while I am recovering from serious surgery.
I am requesting that Discovery:
1. Reinstate the authorisation based on their original approval.
2. Accept responsibility for approving the surgery and then reversing their decision after the fact.
3. Stop shifting blame and resolve this matter in a fair and ethical manner.
4. Protect the patient instead of leaving me to deal with the consequences of their administrative decision changes.
I trusted my medical aid, and they failed me when I needed them the most. I expect Discovery to correct this urgently.
