1 reviews | Active since May 2012
Pre auth still pending till today
To whom it may concern.<br> <br> I am very disappointed in the service I have received from Discovery medical scheme. Before I joined this scheme I ensured that I read all the terms and conditions available and it was not mentioned anywhere that when I require hospital admission I ?have to wait so long for a review if it is before 9 months. <br> <br> Let me mention that I did not choose to go to a Psychiatrist just for the fun of it and therefore I don't understand why ?my welbeing has to be put on wait just because you have to follow internal processes that you did not disclose to your customers prior to taking the medical aid. I don't know if it is an issue of distrust for your client but it is very insulting to have to pay more than R4000 a month and go through this process. If I had known I would definitely not have chosen this scheme. <br> <br> Till today I have not received an authorisation yet I was to be admitted on Saturday. <br> Sent from my BlackBerry 10 smartphone.
Thank you for your comment.
When a member joins the Scheme, we process the application according to the information disclosed on the application. Once your membership is activated and we receive a request for either in or out of hospital authorisation within a certain period of time our system will automatically pend the request. We will then request further clinical information from your provider. This process is necessary to ascertain whether there were any pre-existing conditions of which we were not aware.
I confirmed that we are awaiting the Personal Medical Assessment (PMA) form from your treating doctor so that we can review your request.
Regards
Rishana
Thank you for your comment.
When a member joins the Scheme, we process the application according to the information disclosed on the application. Once your membership is activated and we receive a request for either in or out of hospital authorisation within a certain period of time our system will automatically pend the request. We will then request further clinical information from your provider. This process is necessary to ascertain whether there were any pre-existing conditions of which we were not aware.
I confirmed that we are awaiting the Personal Medical Assessment (PMA) form from your treating doctor so that we can review your request.
Regards
Rishana