1 reviews | Active since May 2016
Discovery ignores the CMS ruling, regarding a PMB
I am very frustrated and disappointed, that Discovery will not get back to me regarding my daughters PMB condition, even after the Council of Medical Schemes (CMS) has ruled in my favour.
I have contacted Discovery Health on multiple occasions and they refuse to acknowledge the CMS ruling. I've tried contacting the principal officer and have been promised I will be contacted, this has been going on for months, with no email reply or anybody contacting me.
The CMS ref = CMS 76767 CMS ruling: "113S - Acquired haemolytic anaemias. The medical scheme denied funding for treatment and stated the member does not qualify for funding as the criteria has not been met. Such criteria have however not been specified by the medical scheme. The PMB criteria for 113S - Acquired haemolytic anaemias has been met and the beneficiary’s condition constitutes a PMB."
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
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
We have been in touch with you to answer your comments.
Regards
Discovery Health Servicing Team
We have been in touch with you to answer your comments.
Regards
Discovery Health Servicing Team
