AR
Atish R
1 reviews | Active since Dec 2018
13 Mar 2023, 20:25
Shocking Service
Absolutely Pathetic service. Claims date 03.11.2022 still not resolved. The administrator keeps sending the same query when it has been addressed on the first response.
Helpful (0)
Replies (3)0
Replies (3)
Ambledown's replyOfficial
04 Apr 2023, 13:05Dear Atish R
Thank you for the review above.
We regret the experience and thank you for co-operating with us to the point of resolution.
As per email exchanges, I confirm that the claim was assessed and finalised under references 2023/000002 and 2023/000002A.
The balance of the items are rejected as per reasons stated in the settlement statement. The items did not meet the policy conditions.
The terms and conditions are outlined in the policy document.
The gap cover policy is designed to augment your medical aid scheme benefits and not replace a medical aid scheme by covering costs that should be carried by a medical aid scheme.
I regret that we cannot reverse the decision on the claim but trust that you will find the above explanation to be in order. I encourage you to contact your broker at NMG for further clarification regarding the benefits and policy terms and conditions. Should there be anything additional that I can assist with, kindly send us an email on ***. I thank you for your continued support, patience and understanding whilst I was attending to your query.
Yours Sincerely,
Paul Makwea|***
Thank you for the review above.
We regret the experience and thank you for co-operating with us to the point of resolution.
As per email exchanges, I confirm that the claim was assessed and finalised under references 2023/000002 and 2023/000002A.
The balance of the items are rejected as per reasons stated in the settlement statement. The items did not meet the policy conditions.
The terms and conditions are outlined in the policy document.
The gap cover policy is designed to augment your medical aid scheme benefits and not replace a medical aid scheme by covering costs that should be carried by a medical aid scheme.
I regret that we cannot reverse the decision on the claim but trust that you will find the above explanation to be in order. I encourage you to contact your broker at NMG for further clarification regarding the benefits and policy terms and conditions. Should there be anything additional that I can assist with, kindly send us an email on ***. I thank you for your continued support, patience and understanding whilst I was attending to your query.
Yours Sincerely,
Paul Makwea|***
Ambledown's reply04 Apr 2023, 13:05
Official
Dear Atish R
Thank you for the review above.
We regret the experience and thank you for co-operating with us to the point of resolution.
As per email exchanges, I confirm that the claim was assessed and finalised under references 2023/000002 and 2023/000002A.
The balance of the items are rejected as per reasons stated in the settlement statement. The items did not meet the policy conditions.
The terms and conditions are outlined in the policy document.
The gap cover policy is designed to augment your medical aid scheme benefits and not replace a medical aid scheme by covering costs that should be carried by a medical aid scheme.
I regret that we cannot reverse the decision on the claim but trust that you will find the above explanation to be in order. I encourage you to contact your broker at NMG for further clarification regarding the benefits and policy terms and conditions. Should there be anything additional that I can assist with, kindly send us an email on ***. I thank you for your continued support, patience and understanding whilst I was attending to your query.
Yours Sincerely,
Paul Makwea|***
Thank you for the review above.
We regret the experience and thank you for co-operating with us to the point of resolution.
As per email exchanges, I confirm that the claim was assessed and finalised under references 2023/000002 and 2023/000002A.
The balance of the items are rejected as per reasons stated in the settlement statement. The items did not meet the policy conditions.
The terms and conditions are outlined in the policy document.
The gap cover policy is designed to augment your medical aid scheme benefits and not replace a medical aid scheme by covering costs that should be carried by a medical aid scheme.
I regret that we cannot reverse the decision on the claim but trust that you will find the above explanation to be in order. I encourage you to contact your broker at NMG for further clarification regarding the benefits and policy terms and conditions. Should there be anything additional that I can assist with, kindly send us an email on ***. I thank you for your continued support, patience and understanding whilst I was attending to your query.
Yours Sincerely,
Paul Makwea|***
AR
Atish R's updateReviewer Update
08 Apr 2023, 11:01Kindly note Paul, This claim was partially paid and not fully resolved. Don’t post responses just to make Ambledown look good, resolve the problem and please call me.
AR
Atish R's update08 Apr 2023, 11:01
Reviewer Update
Kindly note Paul, This claim was partially paid and not fully resolved. Don’t post responses just to make Ambledown look good, resolve the problem and please call me.
Ambledown's replyOfficial
24 Apr 2023, 15:20Dear Atish R
Thank you for the feedback.
The team is looking into the balance of the claim that you are referring to.
Further feedback will be on email, after the reassessment is completed.
Should there be anything additional that I can assist with, kindly send us an email on ***. I thank you for your continued support, patience and understanding whilst I was attending to your query.
Yours Sincerely,
Paul Makwea|***
Thank you for the feedback.
The team is looking into the balance of the claim that you are referring to.
Further feedback will be on email, after the reassessment is completed.
Should there be anything additional that I can assist with, kindly send us an email on ***. I thank you for your continued support, patience and understanding whilst I was attending to your query.
Yours Sincerely,
Paul Makwea|***
Ambledown's reply24 Apr 2023, 15:20
Official
Dear Atish R
Thank you for the feedback.
The team is looking into the balance of the claim that you are referring to.
Further feedback will be on email, after the reassessment is completed.
Should there be anything additional that I can assist with, kindly send us an email on ***. I thank you for your continued support, patience and understanding whilst I was attending to your query.
Yours Sincerely,
Paul Makwea|***
Thank you for the feedback.
The team is looking into the balance of the claim that you are referring to.
Further feedback will be on email, after the reassessment is completed.
Should there be anything additional that I can assist with, kindly send us an email on ***. I thank you for your continued support, patience and understanding whilst I was attending to your query.
Yours Sincerely,
Paul Makwea|***