No cover due to Pre-existing condition?
Took out this clientele Hospital cash back Plan on 1 December 2016. Was admitted to hospital on the first of November 2017. Have end stage kidney failure and was admitted to hospital to insert catheter for dialysis. No other claims to this policy and doctors report also indicated that the hypertension was from the 5th of December 2016. That was a contributing factor to the removal of my one kidney. The response for Clientele is that they will not pay since it is pre-existing. Person reponsible for this call is Navasha Pillay! I plan on fighting this to the highest court cause you can't just make these call! Thats what you get for paying every month!
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
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
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.
We confirm that our Claims Assessor (Navasha Pillay) was in contact with you. The claim was repudiated due to pre-existing conditions based solely on all the clinical evidence that was submitted to us, this includes medication administered during your hospitalisation.
Your claim will be reviewed upon submission of your Sasolmed medical aid history dating back from December 2014 to date.
Should you require any further assistance in this regard please feel free to contact us.
Kind Regards
Claims Department
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.
We confirm that our Claims Assessor (Navasha Pillay) was in contact with you. The claim was repudiated due to pre-existing conditions based solely on all the clinical evidence that was submitted to us, this includes medication administered during your hospitalisation.
Your claim will be reviewed upon submission of your Sasolmed medical aid history dating back from December 2014 to date.
Should you require any further assistance in this regard please feel free to contact us.
Kind Regards
Claims Department