DISCOVERY MATERNITY CLAIMS & AUTHORISATION NIGHTMARE !!

On the 13/01/22 I delivered my daughter at Sandton Medi Clinic via emergency Csection. My gynae who does is not contracted to medical aid submitted her invoice which we paid up front and submitted to the medical aid . Discovery responded to the claim that my membership does not cover child birth/ Csection which is impossible as I am on Classic Priority. I have called the medical aid over 5 times to get this resolved and they said it was an error as they had reviewed the claim against my new born instead of me as the primary member, and they would resubmit the claim 6 weeks later and nothing has been done. We are out of pocket and have not had any movement from Discovery.

Second issue I had to stay in hospital for an additional day and the doctor sent all the information . Discovery then paid the additional day from our daily savings and hence we HAVE NO SAVINGS! This was apparently an error and to be corrected by sandton Medi clinic extending the authorisation by 1 day . I have called discovery and sandton medi clinic over 6 times and nothing has been done. The authorisation was then granted for the wrong date 17/02 instead of 17/01 and still out savings are tied up in this error on Discovery and Sandton medi clinics part. This is no fault of ours but as the client we are suffering I AM DISAPPOINTED IN THE DISCOVERY SERVICE 6 WEEKS TO RESOLVE ISSUES THAT AFFECT OUR BENEFITS AND FINANCIALLY!!