LW
Lilanie W

1 reviews | Active since Feb 2019

21 Apr 2026, 14:00

Unacceptable delays on urgent, medically necessary treatment for my child

I am extremely dissatisfied with the handling of my son’s medical treatment by Discovery Health.

My child has a confirmed diagnosis of airway obstruction with suspected obstructive sleep apnea, including clear symptoms such as breathing pauses during sleep, recurrent infections, and failure to thrive. His paediatrician has documented that surgical intervention is medically necessary and should not be delayed.

Despite this, approval has been delayed and/or declined, even with supporting clinical evidence including specialist assessments and imaging.

This is not a routine or elective procedure. It involves a young child whose breathing, sleep quality, and growth are being directly affected. The repeated delays in authorisation are causing significant concern and distress, and raise questions about whether appropriate clinical urgency is being app****.

At this stage, we are forced to escalate care through hospital admission and have also formally escalated this matter to the Council for Medical Schemes (CMS) due to the lack of timely and appropriate resolution.

It is unacceptable that a clearly documented medically necessary procedure is not being treated with the urgency it requires.

I am requesting immediate senior clinical review and resolution without further unnecessary delay.

0
Replies (6)
Discovery Health
Discovery Health's reply21 Apr 2026, 14:17
Official
Dear Lilanie W

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 reply23 Apr 2026, 21:26
Official
Dear Lilanie W

We’ve contacted you and addressed your concern. 

Regards 
Discovery Health Servicing Team


LW
Lilanie W's update28 Apr 2026, 08:04
Reviewer Update
I would like to correct the record regarding my previous communication.

I was not contacted to address or resolve my concerns. Instead, I was simply informed that the matter would be looked into and that feedback would be provided. To date, I have not received any feedback whatsoever.

This lack of response is extremely concerning and unacceptable. I have been a loyal Discovery client for over 10 years, and it is deeply disappointing that when I require assistance—particularly concerning my MINOR CHILD —I am met with silence and inaction.

I urgently request that this matter be escalated and that I receive clear feedback without any further delay.
Discovery Health
Discovery Health's reply30 Apr 2026, 10:33
Official
Dear Lilanie VD

We are busy investigating your query and will contact you soon.

Regards 
Discovery Health Servicing Team
LW
Lilanie W's update05 May 2026, 10:34
Reviewer Update
5 Days later and still no reply, call, or anything. Had to call in myself again. Just comes to show their level of care for their clients...
Discovery Health
Discovery Health's reply05 May 2026, 14:29
Official
Dear Lilanie W

We’ve contacted you and addressed your concern. 

Regards 
Discovery Health Servicing Team