Discovery Pre-Approval Means Nothing – Claim Not Paid and Sent in Circles

I am extremely frustrated with the service I’ve received from Discovery Health.

I obtained pre-approval for a procedure, yet despite this, my claim has not been paid in full. Instead of resolving the issue internally, I am now being sent in circles and told to contact the doctor’s rooms myself to dispute the appropriateness of the fees charged.

This is completely unacceptable. As a member, I rely on pre-approval to provide cer*****y around cover. It defeats the entire purpose if, after the fact, I am left to negotiate with healthcare providers on Discovery’s behalf.

I have followed up multiple times over the past few weeks, and despite this, the matter remains unresolved. It has now been close to three weeks with no clear outcome or accountability from Discovery.

Members should not be expected to do the work of the medical scheme, especially after pre-approval has already been granted. This reflects very poorly on the level of service and support provided.

If this matter is not resolved urgently, I will escalate it through the appropriate regulatory and consumer channels.