NR
Noluthando R

1 reviews | Active since Dec 2015

03 Jan 2020, 17:36

I FEEL ****MED

I would like share my story I was admitted in hospital on the 10th of November 2019 and discharged on the 15th November 2019 an after I was discharged I than called clientele and told them that I was hospitalized. I emailed my documents and I had to keep on making a follow up myself, they don't call back for an update, kept on calling them until on the 31 December 2019 on my bank account I received an amount of R1590 and I thought maybe there is some sort of a mistake, I than called them the next day, as usual they promised to call back until I had to call them today and the lady that assisted me said I had joined the policy that pays an amount of R10 000 and due to premium increase it is now eleven thousand and some change, I than agreed with the lady and she said that amount is paid if you are hospitalized for more than 3 days and I told her I was discharged on the 5th day. According to what she was explaining it was exactly what I was told when the policy was advertised to me but what I felt was unfair is that during my admission they will only pay 50% of the 3 days I spent in hospital. Clientele why is this the first time me being told about this, why would on earth would I have joined this policy if it going to pay for me 50% and of that 50% you only count 3 days and not 5 days? The gentlemen who first sold the product to me even said everything is recorded, he never said anything about 50%. why would I join a policy that I am paying so much of premium just to be told I am covered for 50% this kind of admission does not qualify for the full amount . I stand to be corrected but this is not the first time experiencing hardship when I am claiming last year I think it about 2 or 3 claims that were turned down that did not pay for my hospitalization, I was told you do not cover that kind of sickness even car accidents minor injuries are not covered you must have a broken leg to be paid. I am angry ,frustrated and I feel I was ****med because I pay my premiums correctly but when it is time for me to claim I am always turned down. What type of sickness do you really cover, why are we told only when the claim has not been approved that you only cover certain sickness. Do you honestly think what you have done to me is fair, do you honestly think I am a happy client with this type of service, how much money has clientele made since I have taken the policy with just my premium and at the end of the day this is what I am told. I really feel I have been ****med and undermined at the same time, the things you are telling us on TV is not real it does not exist, there is no where on your TV adverts you talk about 50% it is always said full amount will be paid. Please rectify this act I await for your response.

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Replies (2)
Clientele Life
Clientele Life's reply06 Jan 2020, 08:34
Official
Dear Noluthando R,

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,
 
Siphesihle Rodolo

Service Support Specialist 
Clientele Life
Clientele Life's reply25 Jan 2020, 10:48
Official
 Dear Noluthando R 

By now you have been contacted by our Claims and Compliance Team who has confirmed the outcome of their investigations. 

Should you not be satisfied with the outcome kindly, follow the investigation process which has been sent to your mobile phone via. 

We would like to take this opportunity to apologise for any inconvenience caused in this regard and trust that you find the above in order. 

Yours sincerely, 

Compliance Team 
 
 Service Support Specialist