EXTREMELY UNHAPPY CLIENT

Discovery Health, please explain this to me as I am not very happy at this stage. I was referred for a special procedure by 2 different specialists who both agreed that I need this procedure. After the motivation was submitted with exact details as to why I need this, you guys go and decline it! All that was stated, is that I do not meet the requirements for clinical criteria for funding, with no explanations as to why. I really find this truly unacceptable, how can a member be treated like this? I have been with Discovery for over 12 years, always having a good healthy standing and always meeting Discovery’s requirements for a good healthy and my Vitality status has always been on Diamond and never had an operation.

I want answers on this ASAP and why my procedure was declined and also exact reasons why it was declined even though my motivation letter from my specialist gave exact details as to why I need this procedure.

And when I call you state because I am not on the right medical plan you declined my procedure after it was told to me that is not the case and you have worked through my case file.

I can't understand if my husband wants to go for a selective surgery then its authorised immediately and here, I sit with a serious issue and you decline my surgery.

Please explain to me how is this possible, why are you favouring men’s procedure over woman’s procedures

If this is not sorted out, I will have no other option than to look for a new service provider and keep in mind, this will mean I cancel everything I have with Discovery, from Medical, Insurance, Life and my RA’s.