RM
Rebone M

1 reviews | Active since Feb 2018

12 Oct 2022, 11:53

Client dissatisfaction. And ***** of giving customers false information about their policy.

I'm clientele customer. Join clientele hospital plan ultimate hospital plan in January 2022. I joined it as I like the benefits the agent sell to me. In sept ember i had put a claim is where problem started. According to policy after you send in claim documents you got your money within 2 days. But my story was different. On third day i phoned them they they did receive my documents. I urged they say the fund documents they will speed up the claim. After 5 days I do follow up they they never receive documents from me. I fought them. They say they are now had documents though prove of hospital account is missing. I remember very well was emailed to them with other documents. On 6 day They send me new policy. The policy content has changed. I was supposed to claim for 20 thousand in 3 days and 1500 for every day after 10th day now they change policy to 10 thousand for hospital stay. And 100 000 per year instead of 200 000 per year and dread dease was 200 000 now is reduced to 100 000. I dont know they should issue me new policy with such changes which i didnt agreed to. I phoned them and complain they gave me case no. CER694161 saying investigator has been assigned to investigate my case. I'm frustrated and hurt broken by they irregularities of they system. Now they can't see email and documents. Now is appearing with incomplete records. Now the send me new policy with new policy information. I don't know if Clientele is legit or ****

0
Replies (4)
Clientele Life
Clientele Life's reply12 Oct 2022, 14:41
Official
Dear  Rebone masenage M,

We confirm receipt of the concerns raised.
      
Your query has been escalated to the relevant department for investigation and we will be in contact to assist.
      
Yours sincerely,

Lindiwe Mabizela
Service Support Specialist
Clientele Life 
RM
Rebone M's update13 Oct 2022, 10:42
Reviewer Update
Thanks for prompt reply. But it means my clean will takes or months to be paid.
Your service us poor
RM
Rebone M's update13 Oct 2022, 10:45
Reviewer Update
Sorry for spelling mistake. I mean my claim will delay for months while so called investigations are still taking place
Clientele Life
Clientele Life's reply17 Oct 2022, 14:29
Official
Dear  Rebone masenage M,

Thank you for bringing this matter to our attention. 
 
We acknowledge your concerns and confirm that our Market Conduct department has investigated the contents of your complaint and that one of our investigators has contacted you to provide the necessary feedback.
 
Unfortunately, you were not satisfied with the findings and opted to escalate your matter to the Independent Complaints Arbitrator who will respond to you in due course. The escalation process was sent to your cell number.
 
We trust you find this in order, however, should you require further assistance in the interim, please feel free to contact us again. 
 
Kind regards, 

Market Conduct