Discovery Health
Discovery hospital plan covers surgery but not MRI

I hv Classic Core (hospital) plan w Discovery since 1999, member #052655740. I need excision of lump in neck, set for 20 March 2013. Surgeon cant do surgery without MRI. I was to check into hospital, hv MRI, then surgery, on same day. Discovery staff on 6 March authorise MRI, surgery & biopsy, as in-hospital treatment. Yet on 12 March Discovery staff refused to cover MRI for spurious reasons incl that MRI is diagnostic & optional. Adrian Gore's assistant, "Yoshan" (?), called me after I contacted the media on 12 March to say MRI is not covered cause it is not done in theatre (!). He also said MRI not covered cause it can be done at wil, but surgery date is also set at wil. His arguments make no sense. Discovery website: "Your cover for MRI &CT scans in hospital: We pay up to 100% of Discovery Health Rate from ur Hospital Benefit if yr MRI or CT scan is done as part of an approved hospital admission; We dont pay for your MRI or CT scan if you admitted for conservative back &neck treatment, or if scan is unrelated to your hospital admission." [URL Removed] . Discovery must urgently agree to pay for my MRI in-hospital.

Company: Discovery Health
Country: South Africa
City: Cape Town

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