Discovery Medical Aid – Please Check Your Claims Carefully

Discovery Medical Aid – Please Check Your Claims Carefully

I feel I need to share my experience with Discovery Medical Aid because I believe other members need to be vigilant.

I have been a Discovery member for more than 30 years. After all these years, I never imagined I would reach the point where I feel that I am simply a number in their system.

Over the past few weeks, I have had to triple-check almost every claim that has been processed. And what is really concerning is that I continue to find errors, errors that I have brought to Discovery's attention. Yet, despite repeatedly pointing these issues out, I don't feel that they are taking my concerns seriously.

Today was another example.

I submitted a claim from my dentist. My membership number was clearly printed on the document I submitted. Discovery came back to me saying that the claim could not be processed because there was no membership number.

How is this possible?

I even arranged a specific time today for Discovery to call me personally so that I could discuss these ongoing problems. They didn't call.

This is not just about one claim. It is about a pattern that I am experiencing.

Last year, as many of you may remember, Discovery contacted members regarding payments that their system indicated were owing due to a system error of Discovery. Members were asked to pay money, Discovery in the end withdrew the case as they knew they were well in the wrong this should never have happened

And then there are the medical savings account deductions. When I am in hospital, I see amounts being taken from my medical savings account, and I find myself having to question and check what has been processed and why.

It seems that every day there is something different to check.

My message to other Discovery members is simple:

PLEASE CHECK YOUR CLAIMS.

Don't automatically assume that because Discovery has processed something, it must be correct.

Check your statements. Check what has been paid. Check what has been deducted from your medical savings account. Check rejected claims. And if something doesn't look right, question it.

I have been a loyal member for more than 30 years, and it is extremely disappointing to feel that I now have to constantly police my own claims to make sure they are being processed correctly.

I am sharing this post because I don't want other members to simply accept what they are told without checking.

Be vigilant. Check everything. Ask questions. Keep your documentation.

If you have experienced similar problems with Discovery, I would genuinely like to hear about your experience. Perhaps together we can make members more aware of what is happening and encourage Discovery to take these concerns seriously.