1 reviews | Active since Dec 2012
Pre-approved then denied claim
I was admitted into hospital as i have hospital cover. I needed 2 mri's done and was told one was approved. I was also told by a representative of discovery, a lady who came to my bed and said everything in hospital has been covered by my hospital plan besides ONE mri which i'm paying cash for. Now i have been told that no mri's are covered and should not have been pre-approved as my medical aid does not cover it. More claims are now coming in and they are denying them all, saying i have no savings account... I was in hospital for 6 days.. How can none of this be covered in a hospital plan. How can discovery give approval to the doctors and the hospital to do tests and scans then when the bills come in they deny the claims!!! I am now stressing to the point of breaking down as the claims are reaching R20 000.
Thank you for your comment.
We've investigated your concerns regarding the hospital claims, we can confirm that the authorisation was updated and the claims reprocessed to be paid from the correct benefit. We confirm that you have been contacted by the relevant team with feedback.
Regards
Hadiyo
Thank you for your comment.
We've investigated your concerns regarding the hospital claims, we can confirm that the authorisation was updated and the claims reprocessed to be paid from the correct benefit. We confirm that you have been contacted by the relevant team with feedback.
Regards
Hadiyo
