An error on Discovery’s systems affected the way that certain prescription and over-the-counter medicines were processed in 2025.

Discovery Health announced that it will cover the cost of a claims system error that resulted in the overpayment of certain Above Threshold Benefit (ATB) claims during 2025.

I do believe that there will be a Section 44 investigation into this debacle. A Section 44 means an entire audit of both the medical scheme and the administrator,’ says MediCheck CEO Mark Hyman.

The move comes after policyholders raised concerns that they were being held financially responsible for overpayments caused by administrative or system errors beyond their control.

MISA argues that Discovery Health should not shift the financial burden of its errors onto members. What does this mean for the future of medical aid in South Africa?

CEO Ron Whelan provides context and explains the ‘ironic’ system update that led to the scheme making R125m in overpayments.

LOS ANGELES – During the Future of Health Annual Summit, Dr. Ronald Whelan, CEO of South Africa's largest health insurer, Discovery Health, sat down with MobiHealthNews to discuss how the organization ...