DISCOVERY FIGHTS TO NOT PAY PMB's

As many know, I have been treated for a very serious Lymphoma which is a PMB and should accordingly be fully covered by my medical aid Discovery. I had an operation in April to remove the implant that caused the Lymphoma. Imagine my shock and surprise when the hospital contacted me 3 weeks ago to advise that Discovery recalled the payment they made in May and I have to settle the theatre account of R27000!!

Today, my husband is due to have basal cell carcinoma removal (ALSO A PMB) and Discovery needs another 5 to 7 working days to assess the diagnosis before authorising the procedure.

These incidences left us both perplexed and I wondered what was going on at Discovery. I googled Discovery only to discover that clients are gravely unhappy with their service.

What adds more insult to the injury is that we are COMPREHENSIVE CLIENTS paying a much higher premium than most and yet our PMB's are not honoured by Discovery.

Any advice on how to report Discovery to the statutory body for not honouring PMB procedures?