1 reviews | Active since May 2021
Clientele hospital cash back a rip-off
I have a clientele hospital cash back plan for almost 12 years, payments up to date. I recently got admitted and stayed in hospital for 10 days following my operation, 3 of which I was in ICU then the remaining 7 days I was in step down facility( hospital measures to reduce number of people in their wards), my Dr and physiothe****** were still seeing me daily. Before I got discharged I called Clientele to enquire about my funds and the claim process, that's where I got the biggest shock of my life.
1. According to clientele I am only entitled to 1 day payment #Myday3 in hospital, as for the rest of my hospital days in step down it's for me and my medical aid, they don't consider that as hospitalization. 2. I also got the news that as my premiums where increasing annually my benefits were still as they were when I took out the policy. I got worried and called again the following day just to make sure it was not a misunderstanding but that day the consultant who helped gave me different information and said as premiums increase my benefits should increase too. Which was not the case with Clientele. 3. A week later I did submit my claim and guess what CLIENTELE ONLY PAID ME R461, and I am paying them more than that on the monthly basis since premiums went up. The R460 is what I was supposed to get when I initially took out the policy 11 years ago. Through out the years I have been paying CLIENTELE for nothing. 4. I did call and enquire but I was told it is unfortunate that I took out the old policy but no one justifies why am I paying same or more amount than those on new policy.
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 you further with the matter.
Yours sincerely,
Shanitha Hanuman
Service Support Supervisor
Clientele Life
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 you further with the matter.
Yours sincerely,
Shanitha Hanuman
Service Support Supervisor
Clientele Life
Thank you for raising your concerns and bringing this matter to our attention. We assure you of our best intentions and we aim to provide excellent service to our clients. We confirm that our Claims Assessor contacted the beneficiary Mrs Shongwe to confirm outcome of the claim Should you require any assistance in this regard please feel free to contact us directly. Kind Regards,
Claims Department
Thank you for raising your concerns and bringing this matter to our attention. We assure you of our best intentions and we aim to provide excellent service to our clients. We confirm that our Claims Assessor contacted the beneficiary Mrs Shongwe to confirm outcome of the claim Should you require any assistance in this regard please feel free to contact us directly. Kind Regards,
Claims Department
