JR
Jacqualine R

1 reviews | Active since Oct 2010

01 Aug 2026, 09:28

Disgusting service from Gap Cover

After submitting all my claim documents for my claim and calling everyday to follow-up to check on any outstanding documents. I was quoted a SLA of 7-10 working days. When I called I was informed there is no outstanding documents. All agents that I spoke to promised me that my documents were in order. Now on the last working day when my claim had to be paid im being told theres missing i formation. I refuse to accept this. Sanlam Gap Cover is ripping us off with high premiums and when its time to claim and pay the come with lots of excuses not to pay. I have submitted all that I can; it was already a missing to get all the relevant in order to claim and now they giving you the run around. I want my money. Please pay me !!! Sanlam Gap Cover & Fedhealth are partners why cant they accept the Gap letter issued by Fedhealth. I have called Fedhealth numerious times for the statement with the rejection reason and they cant issue me with a manual statement so they gave a letter instead ; they told me to wait for automatic statements which will only be available is August hence giving me a letter that states the information. Gap cover you are shameless; we have this insurance when somethinh happens we have to use our money and when we claim back you give us hassles. Do you know how difficult it was to come out of a hospital in pain with no money because you had to use your money to pay co-payments and when you sumbit the claim for the co-payment you paid yourself; and do you know how difficult it was to get all the supporting documents: statements from the hospitals; statements from the doctors and medical aids ???? JUST PAY ME BACK ALREADY

0
Replies (6)
Centriq Insurance
Centriq Insurance's reply03 Aug 2026, 10:20
Official
Dear Mrs Ross

Thank you for sharing your experience with us. 

Your concerns will be investigated, and feedback will then be provided. 

In the interim, should you have any queries relating to the process or timelines, please contact us at ***

Kind Regards
Centriq Complaints


JR
Jacqualine R's update05 Aug 2026, 09:03
Reviewer Update
What they dont understand was that I confirmed with the Gap call centre if my documents were in order; i called daily and was assured that all was in order. At the end of the SLA only I was informed that a document wasnt suitable; which was sent to them, why wait until the last day of the finalisation to inform me that the document isnt suitable. Now im being told to wait again until Thursday for feedback. This is extremely poor service.
Centriq Insurance
Centriq Insurance's reply05 Aug 2026, 10:53
Official
Dear Ms Jacqueline

Thank you for sharing your experience with us. 

Your concerns will be investigated, and feedback will then be provided. In the interim, should you have any queries relating to the process or timelines, please contact us at ***

Kind Regards

Centriq Complaints

 

JR
Jacqualine R's update11 Aug 2026, 13:31
Reviewer Update
Its a whole week later and I have had no feedback on my claim.
JR
Jacqualine R's update12 Aug 2026, 13:52
Reviewer Update
Yesterday I called your call centre and it was confirmed that I will receive an email as soon as the payment is made within the day. Last week I was informed that payments are only made on a Tuesday and that my payment would be made yesterday (Tuesday); when I called the person said that I will receive the email before close of business and guaranteed me that my payment would be made; I informed the person that this payment is urgently needed and I was assured that payment would be made. I have had no feedback and havent received any emails with a statement. I was told that once this payment is made the statement would automatically be emailed the same day. Today Im being told that payment will only be made tomorrow and payment will reflect next week. How is this fair towards your clients????
Centriq Insurance
Centriq Insurance's reply17 Aug 2026, 16:50
Official
Dear Mrs Ross

We confirm that our complaints department has contacted you and your concerns were addressed and resolved.

Please do not hesitate to contact Centriq should you require any further assistance.

Kind Regards

Centriq Complaints

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