MH
Mahomed H

1 reviews | Active since Feb 2011

20 May 2025, 23:24

Re: We have received your claim(s) -MailRef#***#-Re: We have received your claim(s) -MailRef#***#-Re: CMS87542 Subject: Urgent: Outstanding Reimbur*****t and Clarification for Monthly Medical Supplies ref ***/ Owen***Subject:

Dear Sir/Madam,

I am writing to express my concern regarding multiple claims that have been consistently rejected by Discovery Medical Aid, despite having submitted all the required documentation on several occasions.

Attached, please find the proof of payments and claims for various medical expenses related to my condition. These include invoices from Clicks, Coloplast, Dischem, Ayoba Pharmacy, and Medirite, as well as documentation for a urodynamic study conducted by Dr. ***ema — which was specifically requested by the medical aid for confirmation of diagnosis.

Despite the chronic/PMB condition being backdated and approved from 24 March 2025, I have not been reimbursed for 12 months’ worth of out-of-pocket expenses related to:

Catheters

Micrabegron/Urton

Diagnostic procedures

All claims have been submitted through the appropriate channels and are included again in the attachments for your further investigation.

As a very concerned patient, I kindly request a thorough review and urgent feedback on why these claims have been rejected and what immediate steps will be taken to resolve this matter.

Yours sincerely, M. Hassen

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Replies (4)
Discovery Health
Discovery Health's reply21 May 2025, 08:02
Official
Dear Mahomed H

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 reply22 May 2025, 16:50
Official
Dear Mahomed H

We have been in contact with you.

Regards 
Discovery Health Servicing Team
MH
Mahomed H's update23 May 2025, 10:45
Reviewer Update
Good day Discovery Team,

I am writing to follow up on a reimbur*****t for medical expenses. I previously submitted invoices and proof of payment for Urton (where Bertmiga was dispensed twice, subject to availability), including those from Coloplast, but I have not yet received any payment.

For your convenience, I have re-attached all relevant documents, including those for catheter purchases. These expenses were incurred at Clicks, Medirite, Ayoba Pharmacy, Dischem, and directly from Coloplast. Despite these valid claims being submitted after the patient visited these providers, they were rejected by the medical aid, and I had to pay out of pocket.

These outstanding claims date back to March 2024. As requested by Nozuko from your team (***), I have also attached clear copies of the invoices from the relevant medical and pharmaceutical suppliers.

Given the significant delay and inconvenience caused by these backdated invoices, I have copied the relevant parties and authorities below who may be able to assist.

Re: Clear Invoices for Urton - WRefNo#***# - -MailRef#***# - -MailRef#***#-

Coloplast Invoice Request WZA***5 - Mahomed Hassen WRefNo#***# - -MailRef#***# - Re: CMS87542 - MailRef#***

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MediRite Grey Owl MR 087789 <***>
I am deeply concerned about this protracted issue, especially in light of the Medical Schemes Act.

Could you please review this matter urgently and provide an update on the status of my reimbur*****t?

Kind regards,

M. Hassen
A very concerned patient
Discovery Health
Discovery Health's reply03 Jun 2025, 13:14
Official
Dear Mahomed H

We have been in contact with you.

Regards 
Discovery Health Servicing Team