CR
Charmaine R
1 reviews | Active since Jul 2020
30 May 2022, 11:51
Hospital claims
No feedback on hospital claims. I've submitted claims over 3 weeks ago and no feedback. All I get is an automated email. This is such poor customer service.ive called in as well and was advised this was escalated. To date no feedback on my claim. This is becoming quiet frustrating. When this period expires then GAP is going to hold me liable..
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Replies (1)
Ambledown's replyOfficial
12 Aug 2022, 12:52Dear Charmaine R,
Thank you for the feedback on the claim query.
As per official correspondence that was sent to you,
Thank you for the feedback on the claim query.
As per official correspondence that was sent to you,
The procedure that you underwent may be a defined event on the policy, however the shortfall on the charges related to hospital expenses.
Hospital expenses are an exclusion on the policy and therefore not covered. The policy extraction below was app**** in the assessment of the claim
GENERAL EXCEPTIONS
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.
For future queries you can contact us using the following:
Tel: *** or ***
For future queries you can contact us using the following:
Tel: *** or ***
Fax: ***
Compliments/complaints: ***
We trust that your future interaction with us will exceed your expectations.
Thank you for your continued support
Paul Makwea | Risk and Compliance Department |
Ambledown's reply12 Aug 2022, 12:52
Official
Dear Charmaine R,
Thank you for the feedback on the claim query.
As per official correspondence that was sent to you,
Thank you for the feedback on the claim query.
As per official correspondence that was sent to you,
The procedure that you underwent may be a defined event on the policy, however the shortfall on the charges related to hospital expenses.
Hospital expenses are an exclusion on the policy and therefore not covered. The policy extraction below was app**** in the assessment of the claim
GENERAL EXCEPTIONS
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.
For future queries you can contact us using the following:
Tel: *** or ***
For future queries you can contact us using the following:
Tel: *** or ***
Fax: ***
Compliments/complaints: ***
We trust that your future interaction with us will exceed your expectations.
Thank you for your continued support
Paul Makwea | Risk and Compliance Department |