GS
Gunther S
1 reviews | Active since Sept 2022
28 Sept 2022, 06:08
Ambledown
They love to get their premiums but when you put in a claim they will find any weak excuse not to pay. After years of contributions my small gap cover claim was rejected. They are ******* and I've cancelled my policy with them which they accepted without even asking why.If you have a policy with them cancel it they are *******.
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Ambledown's replyOfficial
18 Oct 2022, 11:59Dear Mr Gunther S,
Thank you for your review above.
We regret your experience that ultimately led to your policy cancellation.
The policy conditions are clear and stated in your policy document.
The policy is not designed to pay for all forms of costs that are not covered by the medical aid scheme nor replace a medical aid scheme by covering costs that should be carried by a medical aid scheme, e.g. Medicines, materials, hospital expenses, PMB claims, day to day consultations, treatment and or procedures performed in doctor’s rooms.
your claim was rejected as it related to medication administered in hospital, please refer to the General Exceptions below; The Company shall not be liable for hospitalisation, bodily injury, sickness or disease directly or indirectly caused by related to or in consequence of ·No benefits are payable for ward fees, theatre fees, medicines, material expenses / costs and any other hospital expenses. ·Any medical / surgical procedure not covered or declined by the medical aid scheme.
We regret we could not reverse the decision on the claim. the claim did not meet policy conditions.
I trust that our product will interest you again in future.
Yours Sincerely,
Paul Makwea
***
Thank you for your review above.
We regret your experience that ultimately led to your policy cancellation.
The policy conditions are clear and stated in your policy document.
The policy is not designed to pay for all forms of costs that are not covered by the medical aid scheme nor replace a medical aid scheme by covering costs that should be carried by a medical aid scheme, e.g. Medicines, materials, hospital expenses, PMB claims, day to day consultations, treatment and or procedures performed in doctor’s rooms.
your claim was rejected as it related to medication administered in hospital, please refer to the General Exceptions below; The Company shall not be liable for hospitalisation, bodily injury, sickness or disease directly or indirectly caused by related to or in consequence of ·No benefits are payable for ward fees, theatre fees, medicines, material expenses / costs and any other hospital expenses. ·Any medical / surgical procedure not covered or declined by the medical aid scheme.
We regret we could not reverse the decision on the claim. the claim did not meet policy conditions.
I trust that our product will interest you again in future.
Yours Sincerely,
Paul Makwea
***
Best regards,
Ambledown's reply18 Oct 2022, 11:59
Official
Dear Mr Gunther S,
Thank you for your review above.
We regret your experience that ultimately led to your policy cancellation.
The policy conditions are clear and stated in your policy document.
The policy is not designed to pay for all forms of costs that are not covered by the medical aid scheme nor replace a medical aid scheme by covering costs that should be carried by a medical aid scheme, e.g. Medicines, materials, hospital expenses, PMB claims, day to day consultations, treatment and or procedures performed in doctor’s rooms.
your claim was rejected as it related to medication administered in hospital, please refer to the General Exceptions below; The Company shall not be liable for hospitalisation, bodily injury, sickness or disease directly or indirectly caused by related to or in consequence of ·No benefits are payable for ward fees, theatre fees, medicines, material expenses / costs and any other hospital expenses. ·Any medical / surgical procedure not covered or declined by the medical aid scheme.
We regret we could not reverse the decision on the claim. the claim did not meet policy conditions.
I trust that our product will interest you again in future.
Yours Sincerely,
Paul Makwea
***
Thank you for your review above.
We regret your experience that ultimately led to your policy cancellation.
The policy conditions are clear and stated in your policy document.
The policy is not designed to pay for all forms of costs that are not covered by the medical aid scheme nor replace a medical aid scheme by covering costs that should be carried by a medical aid scheme, e.g. Medicines, materials, hospital expenses, PMB claims, day to day consultations, treatment and or procedures performed in doctor’s rooms.
your claim was rejected as it related to medication administered in hospital, please refer to the General Exceptions below; The Company shall not be liable for hospitalisation, bodily injury, sickness or disease directly or indirectly caused by related to or in consequence of ·No benefits are payable for ward fees, theatre fees, medicines, material expenses / costs and any other hospital expenses. ·Any medical / surgical procedure not covered or declined by the medical aid scheme.
We regret we could not reverse the decision on the claim. the claim did not meet policy conditions.
I trust that our product will interest you again in future.
Yours Sincerely,
Paul Makwea
***
Best regards,