Terrible Communication and Unjust Denial of Copayment Waiver by Discovery Health

I was hospitalized on May 10th due to critically low haemoglobin levels. Previous blood tests confirmed blood loss, and it was suspected I had a bleeding peptic ulcer. Immediate medical intervention and a blood transfusion were required due to extreme haemoglobin depletion. A gastroscopy and colonoscopy (G and C scope) confirmed the suspected bleeding ulcer. I requested a waiver for the copayment of this procedure, as a Gastric Ulcer with bleeding clearly falls under the 902F code of Prescribed Minimum Benefits. I provided all necessary documentation to Discovery Health but to my surprise, Discovery Health declined the request asserting there was no confirmed diagnosis that matched the Prescribed Minimum Benefits. I wish to highlight that the diagnosis was done and confirmed by the doctor who performed the scope. The doctor even showed me a picture that was taken of the large ulcer I had. I laid a complaint on Discovery Health’s website regarding this on July 14th and subsequent to this on July 15th, I received a call from a Discovery Health employee who gave me two reasons for the denial. First was as per the email I received after which it was explained to me that the denial was due to insufficient documentation from my doctor. I requested specific details about the missing document via email to rectify the issue but haven't received a response to date. Additionally, I observed there's no record of this interaction on Discovery's website. I would like clarity from Discovery on why my medical condition doesn't qualify for Prescribed Minimum Benefits despite it clearly meeting the criteria. The admittance through casualty and the absolute necessity for the G and C scopes justify my concerns.