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jaque R

1 reviews | Active since Jun 2011

15 Sept 2026, 09:43

Discovery Health keeps avoiding my chronic medication complaint instead of resolving itq

I am extremely disappointed with the way Discovery Health has handled my complaint regarding chronic medication claims under Member No. ***. I submitted a detailed complaint explaining that chronic medication prescribed for approved chronic conditions was being subjected to co-payments and/or processed against my Medical Savings Account. I provided the names of the medications, supporting prescriptions, pharmacy invoices and requested a clear explanation as to why these chronic medicines were not being funded correctly. [***# | PDF] Instead of addressing the actual complaint, Discovery responded by focusing on the email address used for correspondence and advised me to update my contact details. While I understand the need for security and confidentiality, this does not explain why my chronic medication claims were not paid correctly nor does it address the issues raised in my complaint. To make matters worse, Discovery's own response acknowledges that Natrixam 1.5/5 mg is approved under the Chronic Illness Benefit and should not attract a co-payment when claimed according to the approved benefit. Yet no explanation has been provided for the charges that were incurred. After several emails and complaints, I still do not have: A proper explanation for the co-payments charged. A detailed breakdown of how the claims were adjudicated. Confirmation of whether the medicines were processed under the correct chronic benefit. Resolution of the financial prejudice I have suffered as a result of these charges. As a long-standing healthcare member, I expect clear answers and fair treatment. Discovery Health appears to be delaying resolution by raising administrative issues rather than addressing the actual complaint. I am requesting that Discovery provide a full written investigation, correct any incorrectly processed claims, and reimburse any amounts that were wrongly charged. I hope that posting this complaint publicly will finally result in meaningful engagement and resolution. Member Number: ***.

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Replies (2)
Discovery Health
Discovery Health's reply15 Sept 2026, 10:41
Official
Dear Jaque

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
Discovery Health
Discovery Health's reply21 Sept 2026, 12:41
Official
Dear Jaque L

We have been in touch with you to answer your comments.

Regards
Discovery Health Servicing Team