Discovery Health

I did my due diligence, chose a doctor from their approved list for my shoulder for my plan. Even checked that my plan covered that hospital (because that has happened to me earlier this year, but luckily that doctor did treatments at an approved hospital so it was all good) to prevent any issues.

So, I went through the whole process, getting all the info from the doctor and passing the codes etc. on to Discovery for pre-approval. Then the wheels came off, because I have to be in hospital for 1.5 days according to the doctor and they only cover that particular hospital if I stay for 2 days or more, because the code for this operation says it's a day procedure and the doctor says it is not.

I've been going round and round the past 24 hours and the Discovery Health solution is, instead of coming to some sort of agreement (the hospital offered a 20% reduction in fees), that I have to start again with a doctor that will do the procedure at a day hospital that they have an agreement with.

So, all the fees, all the scans to rather start again, than get past that little fact that THIS hospital only is approved for two days or more ... because Discovery Health knows more than the doctor about how long I should be in hospital! I really don't care, because I would like to be in hospital for a short a stay as possible, but this feels like a waste of money.