GW
Gail W

1 reviews | Active since Feb 2016

24 Feb 2016, 16:15

unable to get hospital approval. admission

I have joined discovery health medical scheme which was active from. The date of joining which was the. 2015/ 09/01 there is a chronic waiting period early February. I got sick my symptoms. Were puking unable to eat, shaking, weak. Insomnia feeling of been raw inside my. Stomach I then went to see gp who couldn't diagnosee my condition as he didn't have the equipment to do so, he recommended I be admitted. To hospital for further test . At the hospital I was informed by discovery they only approving my admission for 24 hours only which was decieving as the next morning they sent a letter refusing admission I had to to leave the hospital an. Given a bill of. R2700 of. Which I must pay yet it was approved by discovery .since the 16/02/2016 I am waiting for a hospital admission approval which must go threw a panel in the meantime my condition gets worse while waiting for a panel to decide what you been paying an covered for . Why are people not told all this before joining. Even with the information my gp has given I'm still waiting an approval. My family is now contacting a laywer . Please people be aware when taking out a policy with discovery health

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Replies (1)
Discovery Health
Discovery Health's reply25 Feb 2016, 10:18
Official
Hello gail26,

Thank you for your comment.

As discussed, we have approved the authorisation for ***. I have requested that the claims be reprocessed for payment. This will take two to three working days for processing. I will contact you directly once they have been corrected.

We have also approved your admission for 25/02/2016. The hospital may contact us to update your authorisation information. We have also sent a letter to the hospital confirming the authorisation.

I trust that our discussion has provided you with clarity regarding your query and I wish you a speedy recovery.

Should you have any further queries that you may require assistance with, please do not hesitate to contact us directly.

Regards

Megan