1 reviews | Active since Oct 2012
Refusal to pay out
My mother, Ava, has been a member of Clientele's Hospital Plus Plan since October 2015. When she joined they gave her a six month waiting period due to hypertension and anxiety that she receives treatment for. She has never claimed and when she had a knee replacement on 18 August (and spent four nights in hospital) they refused to pay her out, saying that she had a two year waiting period all of a sudden. If she did not know in 2015 that her knee would need replacement, how could Clientele? I am complaining on her behalf. Please help us resolve this matter - I feel that she has been a loyal client and they should not go back on their word now.
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,
Siphesihle Rodolo
Service Recovery Supervisor
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,
Siphesihle Rodolo
Service Recovery Supervisor
Thank you for raising your concerns and bringing this matter to our attention.
We confirm that we have investigated your claim and that the policy was explained correctly as per the terms and conditions of the policy.
By now, our Investigator (Millicent Kentshane) has also been in contact with you to provide you with the necessary feedback.
Should you require any further assistance in this regard, please feel free to contact us again.
Regards,
Mahlatse Aphane
Compliance
Thank you for raising your concerns and bringing this matter to our attention.
We confirm that we have investigated your claim and that the policy was explained correctly as per the terms and conditions of the policy.
By now, our Investigator (Millicent Kentshane) has also been in contact with you to provide you with the necessary feedback.
Should you require any further assistance in this regard, please feel free to contact us again.
Regards,
Mahlatse Aphane
Compliance