JP
JANELLE P

1 reviews | Active since Jun 2016

13 Feb 2017, 07:50

DISHONEST SCHEME

<p>I was hosiptalised for lower back pain and when i was in hospital the doctor picked up that my vitaminsB12 was low which is causing neuropathy problem s. the doc picked up that i had a lower back problem that was causing me the pain and a fungal infection. I dont understand how is that my claim was declined stating that my diabetes is not covered, my diabetes has nothing to do with my back problem</p> <p>the gap between my verbetes in my lower spine is not caused with the diabetes.</p> <p>U people at clienetl are just *****s and refuse to pay out the money that i paying you guys. this is not fair on my part cause i was in hospital for my lower back and that when the doc found out about the neurpathy . this is unacceptable i want this to be taken higher now cause they so good in taking our money but to pay out then it such a problem i cant undertsand who why was the claim rejected</p> <p>thsi is not acceptable and i want this to be taken further if not i will seriously stop everyone i knwo taht is taking this plociy with these *****elant people</p> <p> </p>

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Replies (2)
Clientele Life
Clientele Life's reply13 Feb 2017, 08:10
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

Best regards,

Clientele Life
Clientele Life's reply13 Feb 2017, 08:23
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 (Bulelwa Mhloli) was in contact with you regarding this claim, and confirmed the reasons for repudiating your claim.

Based on clinical evidence submitted to us, you were treated for conditions that are Diabetes related and the medication administered as per hospital account support this evidence thereof.

Your DM Type I was diagnosed in 2008.

Your previous claims were assessed based on the clinical evidence submitted to us, without any confirmation of pre-existing condition diagnosis dates.

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

Kind Regards
Claims Department

Best regards,