MM
Matlhodi M

1 reviews | Active since Sept 2013

04 Mar 2020, 13:33

********* Business Dealing

I took a Health/Hospital Plan on the 14th Feb and I was assisted by Makapane Madike. I now believe this guy mislead me into taking the plan because all he told me I realized wasn't internally true. I was initially looking for a hospital plan for myself and my daughter which he quoted me R 698 and said it for for a R 200 000.00 cover for both of us and also gave me another option called the family cover where I can add 4 kids at no charge for R 839 which I had taken. He told me we are covered for Accidental and Planned Procedures (Which I found out it was not true) told me I would be getting a R 20 000.00 lump sum whenever I got discharged from Hospital (Which was also false), told me we are covered for a total of R 450 000.00 annually for whatever we going to be admitted for and that causality visits are paid whether I am admitted or not (which I found out that this statement was false as well). He told me I could add any 4 kids to this policy which at that time I only added my daughter and younger brother (never mentioned that they had to me my own kids, even YOUR website doesn't state this). I told him I would send him an email with details of the other 2 kids which I clearly stated that its my nephew and he still didn't say anything about the extended family issue. On the 2nd March when I called to add the 2 kids, Jefferson Nelson told me my policy didn't allow me to added extended family only my birth kids. He then went to to tell me of other stuff that were a shock to me which made me realize that I was actually mislead into taking this policy. Today I called to cancel it due to my call with Jefferson yesterday and Thando gave me new info as well that was different to what I was initially told by Makapane. She to;d me I could ONLY calm after my 3rd day being in hospital and not from day one (which was never mentioned to me) so meaning if I am only admitted for 2 days then I will have to pay the hospital out of my own pocket. NOW TELL ME, WHY WOULD I WANT TO DO THAT WHEN I HAVE A HOSPITAL COVER TO DO THAT?? There were a lot of this Makapane to me and a lot of questions I asked to seek clarity before I took this policy but still never saw it fit to be honest with me which makes me question the way Clientele conducts their business. I took this policy assuming that my money and life is in good hands but I guess I was wrong because had I not called to add the other 2 kids, I would'n't have known and I would've clearly gotten a shock of my life when I needed to claim and I was given this information. Its really upsetting!!

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Replies (4)
Clientele Life
Clientele Life's reply04 Mar 2020, 17:52
Official
Dear Matlhodi,

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,
 
Lindiwe Mabizela

Service Support Specialist 
Clientele Life
Clientele Life's reply09 Mar 2020, 12:11
Official
Dear Matlhodi,
 
Thank you for raising your concerns and bringing this matter to our attention.
 
We confirm that our Compliance Department has investigated the contents of your complaint and Millicent Maswanganyi has been in contact with you to provide the necessary feedback.  We confirm that the benefits of the hospital plan were explained, and however, you requested to cancel the policy.

We assure you this is not the level of service we aim to provide our clients and corrective measures will be taken to prevent this from happening again.
 
Should you require further assistance please do not hesitate to contact us again.
 
Kind Regards,
Compliance Department
MM
Matlhodi M's update10 Mar 2020, 17:40
Reviewer Update
Good Morning,

My concern right is for the other people who took the Health Plan in question from Makapane. Were they also mislead like he did with me or was he at least honest with them?

I think Clientele needs to check on all his calls just to be sure that the correct information was relayed to the relevant policy holders. It is clear that this guy is not to be trusted and I fear his other clients will actually find the truth out when they are already in hospital thinking they are covered by their hospital cover.
Clientele Life
Clientele Life's reply11 Mar 2020, 10:07
Official
Dear Matlhodi,
 
Thank you for raising your concerns and bringing this matter to our attention.

We assure you that corrective measures will be taken to prevent this from happening again.
 
Should you require further assistance please do not hesitate to contact us again.
 
Kind Regards,
Compliance Department