MISA Demands Discovery Health to Bear the Financial Burden of Claim Errors

MISA demands Discovery Health to bear the financial burden of claim errors

CMS steps in as Discovery Health begins recovering pharmacy overpayments – Moonstone Information Refinery

Discovery Health has begun engaging affected members on a case-by-case basis after a system error led to pharmacy claims being paid beyond members’ Above Threshold Benefit (ATB) limits for most of 2025 – an issue that has now drawn the attention of the medical schemes regulator. The error, identified in December, affected the pharmacy claims processing system of the Discovery Health Medical Scheme (DHMS) and resulted in some members receiving be…

MediCheck: Liability must sit with Discovery

MediCheck: Liability must sit with Discovery Estelle.Bronkhorst Thu, 01/08/2026 - 08:45 JOHANNESBURG - Medical claims watchdog MediCheck is turning up the heat on Discovery.It's accusing the country's biggest medical scheme of shifting the cost of its own technical blunder onto ordinary members.A billing error means some clients unknowingly received benefits they were never entitled to. They are now being asked to pay back the money.