FM
Funeka M

1 reviews | Active since Aug 2017

14 Aug 2017, 10:56

Unreliable, dishonest, misleading

<p>I AM FUNEKA A SOUTH AFRICAN CITIZEN, SO HURT AND DISSAPOINTED ****** DAYLIGHT (CLIENTELE HOSPITAL PLAN )</p> <p> </p> <p>NEVER TRUST CLIENTELE .......</p> <p> </p> <p>THIS COMPANY IS A COMPANY THAT PLAYS WITH PEOPLES FEELINGS ****** THAT CAN LIE TROUGH THEIR TEETH,I JOINED THE HOSPITAL PLAN IN APRIL AND THE CONSULTANT I SPOKE TO SAID IT WILL BE ACTIVE AFTER 3MONTHS UNLESS ONE IS INVOLVED IN A CAR ACCIDENT THAN ONE WILL BE PAID NO HASSLES I HAVE TWO KIDS I WAS THAS TOLD THEY ARE AUTOMATICALLY ADDED TO MY HOSPITAL PLAN ,JUST AS THEY SAY ON THE TELEVISSION .I SMS TO THEM IN APRIL 2017 THAT’S WHEN I JOINED THAN A LADY CALLED ME TO EXPLAIN THE POLICY AND TO TAKE THE RELEVENT INFO OF MINE AND MY DEPENDENCE .</p> <p>(IF ONE IS HOSPITALISED FOR 3 DAYS - PAYOUT OF R2000</p> <p>MY CHILD WAS THAN ADMITTED IN JULY THE 17-20TH OF JULY 2017</p> <p>I CALLED THEM TO LODGE THE CLAIM AND THE CONSULTANT I SPOKE TO SAID I NEED TO FILL IN A FORM AND I WILL GET AIRTIME AS IT COMES ALONG WITH THE BENEFIT SCHEME, I WAS THAN DISCHARGED @ HOSPITAL STILL DIDNT RECEIVE THE AIRTIME I WAS PROMISED I CALLED TO FINDOUT WHAT I NEED TO SUBMIT .I EMAILED EVERYTHING TO THEM AS REQUESTED I ASKED THE CONSULTANT HOW LONG DO THEY TAKE TO PAY THE CLAIM I WAS TOLD ATLEAST MINIMUM OF 5 WORKING DAYS ,YET STILL TODAY I HAVE NOT RECEIVED ANYTHING , THEY ARE UNPROFESSIONAL TODAY YOU SPEAK WITH THIS ONE YET IF YOU WANT TO CONTINUE WITH THE PREVIOUS CONSULTANT THAT DELT WITH THE CLAIM AM TOLD SHE IS NOT AVAILABLE AND SHE DOESNT HAVE A DIRECT LINE NOR EMAIL, ITS HAS BEEN A MONTH NOW AFTER ALL THE RUNNING AROUND I AM TOLD WILL GET R100 FOR THE CLAIM .</p> <p>I HAVE NEVER SIGNED ANY CONTRACT AND THE REASON I TRUSTED CLIENTELLE WAS BECAUSE ITS A BIG COMPANY NEVER THOUGHT THEY WOULD TREAT PEOPLE LIKE THIS I AM SO DISSAPOINTED .</p> <p>AFTER ALL THIS WHICH MEANS MY KIDS AND I WERE NOT COVERED WHILST THEY DEBIT MONEY FROM MY ACCOUNT EVERY MONTH NOW THAT I NEED THEM I AM TOLD MY CHILD IS NOT CIOVERED FOR THE FULL BENEFIT ,THAT WAS NOT EXPLAINED TO ME AT THE BEGINING ,THEY SEND ME A CONTRACT AFTER I HAVE REQEUSTED IT ALL THE INFORMATION ON THE POLICY WAS</p> <p>NEVER EXPLAINED TO ME BUT ON THE CONTRACT IT STATES A CHILD UNDER 4YEARS DOES`NT QUALIFY FOR THE FULL BENEFIT THAT WAS NEVER RXPLAINED TO ME AT ALL AND THEY DIDN’T INDICATE WHAT SHOULD THE PATIENT BE DIAGNOSED WITH IN ORDER TO CLAIM ,I WAS TOLD IF I OR MY CHILDREN ARE ADMITED MORE THAN 3DAYS WE WILL BE PAID R2000 ,AFTER ALL THE RUNNING AROUND SUBMITTING ALL REQUIRED DOCUMENTS AM TOLD MY CHILD DOES NOT QAULIFY THEY WILL ONLY PAY R100 EVEN ON THEIR ADVERT ON THE TV THEY DON’T SPECIFY THAT THEY DON’T PAY FOR CERTAIN SICKNESES ,</p> <p>I SPOKE TO CONSULTANT R.MOPSHAKA SHE THAN TOLD ME I WILL BE PAID THE FULL R2000 AS EVERYTHING IS SUBMITTED I ONLY NEED TO SUBMIT THE ACCOUNT NUMBER WHICH I DID ON THE 10TH OF AUGUST 2017 .</p> <p> </p> <p>I PAID R500 TO THE DOCTOR TO FILL IN THE FORM THAT WAS REQUIRED BY CLIENTELE IN ORDER TO PROCESS THE CLAIM ,I HAVE BEEN CALLING SINCE THE 18TH OF JULY 2017 EVERY DAY ,I WAS TOLD TO SUBMITT AFFIDAVIT,OPEN NEW ACCOUNT ,I HAVE DONE EVERYTHING THAT WAS REQUIRED AND ACCORDING TO THE DIFFERENT CONSULTANTS I WAS TOLD THE CLAIM WILL BE PAID OUT ,TO FINDOUT OUT THAT I HAVE A CLAIM OF R100 WHY WOULD I EVEN BOTHER MYSELF WASTE MY TIME AND MONEY TO CLAIM R100 I AM DEEPLY HURT WITH CLIENTELE THEY ARE ****** AND UNREALIABLE .I HAVE BEEN ****** DAYLIGHT</p> <p> </p> <p>(PLEASE PEOPLE OF SOUTH AFRICA DO NOT JOIN CLIENTELE )YOU WILL REGRET IT THEY ARE SMOOTH TALKERS WHEN IT COMES TO PAY OUT YOU WILL SEE THE TRUE COLOURS THEY THROW YOU LIKE DIRT WHEN YOU QUESTION THEM THEY WILL NEVER GIVE YOU A RELEVENT STRAIGHT ANSWER</p> <p>I AM SO SO DISSAPOINTED ..</p> <p> </p> <p>PLEASE INVESTIGATE CAN THEY DO THAT TO THEIR CLIENTS MISLEAD THEM .</p> <p> </p> <p>F. MALGAS</p> <p> ********** 069/ ********** 678</p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p>

0
Replies (2)
Clientele Life
Clientele Life's reply14 Aug 2017, 11:15
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

Clientele Life
Clientele Life's reply14 Aug 2017, 15:34
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 will be in contact with you regarding this claim.

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

Kind Regards
Claims Department