EB
Elmien B
1 reviews | Active since Jun 2021
29 Jun 2021, 14:18
AMBLEDOWN/TALKSURE GAP COVER NON PAYMENT
I don't know why am I paying this policy every month because if you claim they have a long story of the medical aid did not pay the dr. because of ??? That is why I have this gap cover to pay the dr if the medical aid do not pay. You wait for more than a month for a response and struggle to phone them. We paying this policy for almost 20 years. WHY? BECAUSE YOU GET NOTHING IN RETURN.
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Ambledown's replyOfficial
30 Jun 2021, 08:22Dear Elmien B Thank you for the claim feedback. I trust that this response will find you well.
The claims are assessed as per policy terms and conditions. General exceptions and the main policy benefit were app****, that led to the rejection of the claim.
The product is not designed to pay for all forms of costs that are not covered by your medical aid scheme. It is not designed to replace your medical aid scheme and is not designed to cover 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.
Full response was sent to you, on email.
I encourage you to contact the Talksure Client Services Team for clarification regarding the benefits and policy terms and conditions on ***Monday to Friday between 08h00 to 17h00;
Should there be anything additional that I can assist with, kindly feel free to reply to the email, ***
I thank you for your continued support, patience and understanding whilst I was attending to your query. Yours Sincerely,Paul Makwea
***
The claims are assessed as per policy terms and conditions. General exceptions and the main policy benefit were app****, that led to the rejection of the claim.
The product is not designed to pay for all forms of costs that are not covered by your medical aid scheme. It is not designed to replace your medical aid scheme and is not designed to cover 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.
Full response was sent to you, on email.
I encourage you to contact the Talksure Client Services Team for clarification regarding the benefits and policy terms and conditions on ***Monday to Friday between 08h00 to 17h00;
Should there be anything additional that I can assist with, kindly feel free to reply to the email, ***
I thank you for your continued support, patience and understanding whilst I was attending to your query. Yours Sincerely,Paul Makwea
***
Ambledown's reply30 Jun 2021, 08:22
Official
Dear Elmien B Thank you for the claim feedback. I trust that this response will find you well.
The claims are assessed as per policy terms and conditions. General exceptions and the main policy benefit were app****, that led to the rejection of the claim.
The product is not designed to pay for all forms of costs that are not covered by your medical aid scheme. It is not designed to replace your medical aid scheme and is not designed to cover 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.
Full response was sent to you, on email.
I encourage you to contact the Talksure Client Services Team for clarification regarding the benefits and policy terms and conditions on ***Monday to Friday between 08h00 to 17h00;
Should there be anything additional that I can assist with, kindly feel free to reply to the email, ***
I thank you for your continued support, patience and understanding whilst I was attending to your query. Yours Sincerely,Paul Makwea
***
The claims are assessed as per policy terms and conditions. General exceptions and the main policy benefit were app****, that led to the rejection of the claim.
The product is not designed to pay for all forms of costs that are not covered by your medical aid scheme. It is not designed to replace your medical aid scheme and is not designed to cover 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.
Full response was sent to you, on email.
I encourage you to contact the Talksure Client Services Team for clarification regarding the benefits and policy terms and conditions on ***Monday to Friday between 08h00 to 17h00;
Should there be anything additional that I can assist with, kindly feel free to reply to the email, ***
I thank you for your continued support, patience and understanding whilst I was attending to your query. Yours Sincerely,Paul Makwea
***