Backlash forces Discovery medical aid to cover costs of claims mistake

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  1. maxfax
    12 January 2026 at 17:45

    An important distinction not often made due to the naming of the two is that Discovery Health Medical Scheme (DHMS) is the actual medical aid fund with Principal Officer Ms C Mbewu, while Discovery Health (DH) are the administrators and as such are responsible for effectively managing the scheme and paying out of the medical liabilities. The error in payments and allocation of amounts to above threshold limits was that of the administrator DH, who attempted to rectify their error by placing enormous financial burden on members of the scheme through no fault of their own. This error is solely the fault of the administrator and as such the members should not have to pay for their maladministration, but they should be penalized by the Trustees of DHMS and be forced to fund the error from their administration fees which are exorbitant!!