JM
Joseph M

1 reviews | Active since Oct 2014

09 Mar 2017, 11:33

CLIENTELE HOSPITAL PLAN COVER PROMISE NOT HONOURED

<p>In 2014 I joined a hospital plan with Clientele considering that my daugter was out of my medical aid cover due to age. Clientel promised to pay R2000 per stay at the hospital.</p> <p>About 2 weeks ago my daugter was hospitalised on an emergency and she stayed at the hospital for 5 days. I logged a claim and submitted all the neccessary supportive documentation to Clientele when she was released.</p> <p>Now I recieved a refund from Clientele equal to what I paid to the hospital. In this case Clientele did not honour their promise at a crucial time when we needed them to support. When I asked them today (9/3/2017) I got a lot of excuses from them.</p> <p> </p> <p>Thanks</p> <p>Joseph Mahlaule</p>

0
Replies (2)
Clientele Life
Clientele Life's reply09 Mar 2017, 12:36
Official

Thank you for raising your concerns with us.

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,

Benita Steyn

Service Recovery Specialist

Clientele Life
Clientele Life's reply09 Mar 2017, 15:36
Official

Thank you for raising your concerns and bringing this matter to our attention.

At the outset we would like to apologise for any delays you might have experienced in the assessment of your claim. This is not the level of service we aim to provide our clients and we assure you of our best intentions.

We confirm that our Claims Assessor (Navasha Pillay) will be in contact with you regarding this claim, to confirm that your claim was paid in full in accordance of your daily benefit of R562.00 with 2 days deferred period (refer to your policy schedule).

Should you require any further assistance in this regard please feel free to contact us again.

Kind Regards
Claims Department