1 reviews | Active since May 2016
Discovery Health *********
<p>My husband had to go in for an Emergency operation on 22 April, after strugling for hour the Discovery Case manager at the hospital got pre-authorisation number so the operation could go ahead. A week after i received a messag from the hospital that Discovery will not pay seeing that it was a cosmetic operation which it was not! All the authorisation codes, and surgery procedures etc has been sent through to them which even customer services after I spoke to them confirmed is definately not a cosmetic procedure, and i was promised it would be sorted out! It is now a month later and this is still not sorted out and they refuse to pay. I have now sent a complaint to the Medical Council to follow up on this with all the documentation needed as well as names & authorisation codes. That is not even metnioning that I had to wait a month and a half to get authorisation for my daughter to go see a specialist for her tonsils. I did not go ahead with that seeing that I see Discovery don't care about their clients needs.</p> <p>As soon as this is resolved I will be changing medical aids</p>
Thank you for speaking to me and please accept our apologies for the delay.
I can confirm that the hospital admission is approved and the related accounts are being reprocessed. We are investigating why there was a delay in having the hospital admission approved and will address this internally to make sure it does not happen again. As requested we made contact with the hospital to notify them and will await further claims to be processed. We sent an email with more details and you are welcome to contact us directly in this regard.
Regards
Jashvir
Thank you for speaking to me and please accept our apologies for the delay.
I can confirm that the hospital admission is approved and the related accounts are being reprocessed. We are investigating why there was a delay in having the hospital admission approved and will address this internally to make sure it does not happen again. As requested we made contact with the hospital to notify them and will await further claims to be processed. We sent an email with more details and you are welcome to contact us directly in this regard.
Regards
Jashvir
