Discovery once again confirms cover and then denies

<p>This is about my 5th complaint linked to 1 incident and i have even dealt with Sirgree Pather from executive office and still absolutely no success! I am now appealing to the actual head of claims or head of health.</p> <p>We were pushed from pillar to post from the hospital admission and all admin was handled by myself regarding what discovery needed for my husbands admission and claims to be processed. My husband was inconvenienced for now 2 month and still not all claims are paid. They approved auth for admission then declined linking it to some sinus condition when he had a viral infection which affected the ear and nervous system. They then realised their mistake and apologised but after confirming all the claims will be covered they still have not adhered or honored their word. They are giving me the run around for a mere R600 odd claim which was billed to them under the hospital benefit and which was confirmed to me will be paid via a claims consultant as well. Instead of honoring their word, they want me to now log a dispute which makes this entire process more lenghty, more pressurizing and inconveniencing me even further. I am disgusted by how even the executive office cannot see their wrongs and honor their word for the inconveniencing of their members. I thought that if you advise a consumer you will cover something that is even on a recorded telephone call and writting that this would stand so this leaves me baffled. Is this scheme even worth putting our money into. When we are in a life predicament and cannot pay a premium and delay for 1 week, we get suspended yet when we pay and need our claims covered we end up getting the run around and treated like ****!</p> <p> </p> <p>I do not want anyone to contact me unless they ready to pay this claim and sort their error out!</p> <p> </p> <p>all claims linked to this event were confirmed to be covered with no shortfalls as all providers were checked to be within the discovery health rate therefore this should be honored!</p> <p> </p> <p>If any of these bills get handed over to legal firms based on the delays of 2 months worth because of errors on discovery ends this will affect our credit profile and interest+legal fees get charged so i think someone should start realizing that having panick attacks at work over the 16 agents i have already dealt with on this 2 days hospital admission and 37 emails worth not to mention lengthy calls taken and made is enough to **** someone just because of stressing them out for matters that a corporate should be able to handle with the utmost compassion and professionalism. What is sad, is that it is a health insurer often promoting the well being off people yet the most contradictory thing is that any interaction whereby Discoveyry has to play their part adds nothing but pressure and unnecessary stress not to mention the inconvenience caused.</p> <p> </p> <p> </p>