The family of a Northern KwaZulu-Natal woman who collapsed and died are seeking legal advice about pursuing a civil claim against a medical aid scheme for allegedly suspending payments for her dialysis treatment. The 53-year-old died earlier this month after missing four dialysis sessions. She had been on dialysis for two years. Discovery Health had..
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Mom dies after Discovery Health ‘stops paying doctor for dialysis treatment’
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One of the top medical aids in South Africa, Discovery Health, say they are unable to pay for dad’s life-saving cancer medication
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Medical aid giant Discovery Health says it is unable to pay for cancer medication a Hermanus father needs to save his life. And it won’t let the client of 14 years upgrade to qualify for the expensive drugs. His family has requested that his name be withheld. His youngest daughter said she felt Discovery was..
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Billions are lost due to Doctors, hospitals and medical aid members collude to commit fraud
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The Special Investigating Unit says it is actively targeting fraudsters in the private healthcare sector. Fraud, waste and abuse is costing the private healthcare system more than R22-billion, and if you submit false claims, you could face more than just being terminated from your scheme, the Council for Medical Schemes warned at its summit on..
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Oues se skokverhoging op Discovery-opsie
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Duisende pensioenarisse wat op die Discovery Health Medical Scheme (DHMS) se Keycare Plus-opsie is, moes tot hul skok hoor hul premies styg volgende jaar met sowat 47%. Lede op die KeyCare Plus-opsie betaal premies gegrond op hul maandelikse inkomste. Die skerp premieverhoging raak 139 000 lede wat op die laagste inkomstevlak van KeyCare Plus is…
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Hier is die 20 beste hospitale in SA
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Die resultate van die nuutste peiling onder pasiënte wat Discovery Health uitgevoer het om die beste hospitale in die land aan te wys, toon sewe hospitale wat al vier jaar agtereenvolgens op die lysie is. Lede van mediese skemas wat deur Discovery Health geadministreer word, het aan die peiling deelgeneem oor die hospitale waar hulle..
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Discovery Health teamed up with Uber for flu shots on the go
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With winter and the dreaded flu season around the corner, Discovery Health has teamed up with Uber to provide flu shots on-demand.
For one day only, Wednesday 18 April 2018, riders in Johannesburg, Pretoria, Cape Town, Durban and Port Elizabeth………
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Discovery Health recovers R568m through fraud-control activities in 2017
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According to Discovery Health CEO, Dr Jonathan Broomberg, efforts to curb fraud in the healthcare system resulted in R568m recovered on behalf of client schemes in 2017, compared to R405m in 2016. Further, fraud-control activities in which health professionals and others contemplating fraud desist from committing fraud in reaction to visible policing and action by Discovery Health, prevented additional fraud to the value of approximately R3bn over the last two years, adds Broomberg.
Discovery Health has invested substantially in fighting the scourge of healthcare fraud. Efforts include the deployment of a specialised team of over 100 analysts and professional investigators as well as a proprietary forensic software system that uses sophisticated algorithms to analyse claims data and identify any unusual claim patterns. Invaluable tip-offs from whistleblowers also help to identify fraud.
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What’s driving up our healthcare costs?
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Discovery Health CEO explains why South Africans are paying higher medical aid premiums than ever before. Access to quality healthcare at an affordable price is a critical priority for every family, and in society at large. South Africans lucky enough to afford private healthcare have rapid and convenient access to some of the best quality..
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