RI
Razia I

1 reviews | Active since Mar 2015

12 Aug 2025, 14:35

Misleading Authorization for specialist

Authorization to visit a specialist was requested by the network GP and this was approved by Discovery. When I called Discovery to query non payment I was told the claim was rejected because specialist visits have been exhausted. I don't understand why the approval was granted if that was the case. I should be told upfront that there is no cover for the specialist visit.

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Replies (2)
Discovery Health
Discovery Health's reply13 Aug 2025, 07:08
Official
Dear Razia I

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
Discovery Health
Discovery Health's reply14 Aug 2025, 14:25
Official
Dear Razia I

We have been in touch with you to answer your comments.
Regards Discovery Health Servicing Team