MH
Mahomed H

1 reviews | Active since Feb 2011

26 May 2025, 09:46

Urgent: Outstanding Reimbur*****t for Medical Expenses – Urton/ generic/ betmiga, Coloplast Fwd: Re CMS87542claims at discoveryWRefNo#***#- -MailRef#***#-.pdf ***: Coloplast Invoice Request WZA***5 - Mahomed HassenWR

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#***

*** *** *** *** *** *** *** *** *** 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

0
Replies (4)
Discovery Health
Discovery Health's reply26 May 2025, 11:05
Official
Dear Mahomed

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 reply27 May 2025, 16:07
Official
Dear Mahomed

We have been in contact with you.

Regards 
Discovery Health Servicing Team
MH
Mahomed H's update09 Jun 2025, 20:20
Reviewer Update
Good day,
The member has been sending multiple emails to the scheme regarding his claims. In your section 47 response, you confirmed that the claims would be funded.
Kindly proceed with processing the claims as per your commitment.
Regards,
Discovery Health
Discovery Health's reply19 Jun 2025, 10:22
Official
Dear Mahomed

We have been in contact with you.

Regards 
Discovery Health Servicing Team