JG
Jacqueline G

1 reviews | Active since Apr 2015

12 Mar 2024, 07:47

Payment of claims extremely delayed!! No assistance!!

The turnaround time for payment of claims is tardy! This was never the case previously. I’m still waiting on payment. I’ve discovered now that they’re part of Momentum…now I’m not surprised. Definitely cancelling!

0
Replies (1)
Ambledown
Ambledown's reply20 Mar 2024, 14:36
Official
Dear Ms Jacqueline G

Thank you for the review above.

We regret if the process was unclear. 

The claims assessment period is a maximum of 14 days from receipt of all the required documents. it is our interpretation that the 2 claims assessments were completed within time under references 2024/016689 and 2024/021211.

Copies of the following documents are often required to support the claim: 
  • Detailed Hospital Accounts
  • Detailed Doctor(s) Accounts
  • Detailed Medical Aid Statement (line by line assessment of all transactions that relate to the shortfall for            hospitalisation/treatment that you wish to claim for) 
  • Fully completed claim form (available on request/downloadable from ambledown.co.za)
  • Confirmation of banking details 

Completed claims documents should be submitted in writing (by no later than one hundred and eighty (180) days/six months (6) from the date of incident (i.e. complete the claim form as soon as possible) and returned by email to ***      
Failure to provide all applicable claim supporting documents will cause undue delay in the processing thereof.                                                Yours Sincerely,Paul Makwea |***