BM
BOITUMELO M

1 reviews | Active since Nov 2018

04 Nov 2025, 08:36

Extremely Disappointed with Discovery Health — Approved IVF but Now Refusing to Pay

I am extremely disappointed with Discovery Health Medical Aid. Earlier this year (June), Discovery approved my IVF treatment for R135,000, and I started the process based on that approval. Now that I have begun treatment and submitted invoices — which don’t even come close to the approved amount — Discovery is refusing to pay.

To make matters worse, I have already paid over R40,000 out of my own pocket, and the hospital is within Discovery’s own network. The level of service I’m receiving is completely unacceptable. It feels like Discovery is quick to give approvals but fails to honour them when members actually need support.

This is unfair, misleading, and financially devastating to someone going through such a sensitive medical journey. I trusted Discovery to do the right thing — instead, I’m left with bills and stress during one of the most important times of my life.

This is disgraceful service, and I will not recommend Discovery Health to anyone.

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Replies (5)
Discovery Health
Discovery Health's reply04 Nov 2025, 10:24
Official
Dear BOITUMELO M

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
BM
BOITUMELO M's update04 Nov 2025, 19:18
Reviewer Update
They approved my IVF treatment for R135,000 in June, but now that I’ve started, they’re refusing to pay. The first invoice was rejected for being “one document,” and when the hospital sent five detailed invoices showing each stage, they still rejected everything.

Their call centre agents are clueless, refuse to escalate calls (even when I asked for Zama Ncobo), and treat members with arrogance and zero empathy. I’ve already paid over R40,000 out of pocket for medication and ***** analysis — all things that my Comprehensive Plan is supposed to cover.

My IVF cycle is already underway, and Discovery’s incompetence, excuses, and heartlessness are jeopardizing my entire treatment.


BM
BOITUMELO M's update04 Nov 2025, 19:19
Reviewer Update
Discovery Health is by far the most useless, heartless, and *********** medical aid in South Africa.

Their call centre agents are completely untrained, have zero understanding of IVF, and refuse to escalate calls to anyone who actually knows what they’re doing — including Zama Ncobo, who I specifically asked to speak to. It’s unbelievable how unprofessional and dismissive they are.

Discovery approved my IVF in June for R135,000, yet now that I’ve started treatment, they’ve refused to pay a cent. My first claim was rejected because the hospital submitted one invoice that covered everything. The hospital then tried to help by sending five separate invoices showing each stage of the procedure — and Discovery still rejected them all.

I have already paid more than R40,000 out of my own pocket for medication and my partner’s ***** analysis, both of which are supposed to be covered under the Comprehensive Plan that I pay for every single month. So the question is — what exactly is Discovery paying for?

Their claims department is careless, their call centre is arrogant and clueless, and their entire approach shows zero compassion or urgency toward people going through IVF — one of the most emotional, stressful, and expensive journeys imaginable.


Discovery Health
Discovery Health's reply07 Nov 2025, 12:46
Official
Dear BOITUMELO M

We are busy investigating your query and will contact you soon.

Regards 
Discovery Health Servicing Team
Discovery Health
Discovery Health's reply10 Nov 2025, 10:20
Official
Dear BOITUMELO M

We are busy investigating your query and will contact you soon.

Regards 
Discovery Health Servicing Team