NM
Nosipho M

1 reviews | Active since Oct 2024

27 Feb 2026, 23:55

Discovery Health avoiding to pay for the hospital stay claim and operation for our son.

We have had this bad experience with Discovery Health.

The medical aid scheme, to this day, has not paid for an operation and a hospital stay claim that happened last year end of October. We have paid out of pocket for some of the expenses and they are ignoring the refund request. The calls keep coming from the hospital for us to settle the debt. Discovery is busy playing us.

We keep following up. There is nothing happening except for excuses. They said, due to a transition from one medical aid to another, the cover was suspended pending upliftment which takes 2-3 days and they will process the claim and make the necessary payments. They didn't do that. They didn't pay.

They changed the reason again to say, the codes on the claims are incorrect and I told them that we know nothing about codes, they should talk to the specialists from the hospital. They didn't respond at all and didn't pay still.

They changed the reason again to say the claims were not processed because the savings have been depleted. Of course they are depleted because we are no longer using Discovery but on the day of the operation, we were still covered by Discovery. They should pay the claims.

Discovery what is this? How long should one follow up? Do you care about your customers or you care about making excuses?

The day of the operation was heavy enough to our family. The burden of calls on our back almost everyday is not helping but we relive the whole experience with uncer*****y and disappointment from the way Discovery have been handling this matter. Very unprofessional, concerning and unpleasant.

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Replies (1)
Discovery Health
Discovery Health's reply02 Mar 2026, 08:11
Official
Dear Nosipho M 

We’ve noted your concerns and we’re investigating the matter. We’ll contact you with feedback as soon as possible. 

Regards 
Discovery Health Servicing Team