bad service

My wife took a hospital plan with clientele, but every time that she had to claim there were problems. They do not deliver what they promise on TV and the media. The last claim were not paid out due to hospitalisation for the wrong reasons. This decision were taken by somebody with no medical training and hence the division. My doctor are contemplating legal action as it is defamation of his character. The e mail that they send me clearly stats that the doctor treated her for some thing other that she were admitted for.