PMB REJECTION - *********

I have been a member of Discovery for 22 years and this is how I am treated when requiring an urgent operation (which is a PMB condition confirmed by a Neurosurgeon - twice).

I have a PMB condition which was confirmed and submitted by a Neurosurgeon on 09 January 2022. An application for approval was submitted to Discovery and they rejected this claim by denying having received any supporting documents. The report and application for approval was submitted once again and they denied having received any supporting documents.

I logged a dispute with their dispute team , but Discovery still sent me from pillar to post and 18 days later, with no response or feedback whatsoever.

Only after I contacted the Ombudsman "CMS" they contact me on 15 February and then tell me to complete a form and wait 30 days. My profile and call recordings are sufficient and documents submitted on their system are sufficient enough to complete their investigation with a proper outcome.

My life is at risk due to the nature of illness , at the very least I could be paralyzed . Despite having advised Discovery of this, they still deny having received any information and now require me to wait 30 days. This is *********.

It seems as though because of the cost of the operation they are using stalling and denial tactics in anticipation of my death so to not pay the claim.