HP
Hester P
1 reviews | Active since Nov 2020
12 Nov 2020, 10:00
OPERATION COSTING ME 90K (EXCLUDING MY MONTHLY PREMIUMS)OUT OF MY POCKET IN THIS UNSTABLE FINANCIAL ECONOMY AND DAY1 ONLY R700.00
The underwriters for Day1 Medical Insurance is the worst, leading to this medical insurance company being the worst.
Two different operations had to be performed on me at the same time on one day.
Although I was in terrible pain I was discharged the same day due to the hospital policy which was implemented due to Covid-19 pandemic to safe guard patients from possible contamination
Due to this rule, Day1 refuse to pay out the 20k which they guaranteed.
My whole operations to date are costing me nearly 90k out of my pocket and Day1 R700.00 for a part refund on my 1st visit specialist visit.
I took out an insurance as I am not a sickly person, however regret the day that I signed up with Day1.
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Replies (4)0
Replies (4)
Day1 Health's replyOfficial
12 Nov 2020, 14:39Dear Hester P
Your review has been noted and we will be in contact with you shortly.
Kind regards
Day1 Health
Your review has been noted and we will be in contact with you shortly.
Kind regards
Day1 Health
Day1 Health's reply12 Nov 2020, 14:39
Official
Dear Hester P
Your review has been noted and we will be in contact with you shortly.
Kind regards
Day1 Health
Your review has been noted and we will be in contact with you shortly.
Kind regards
Day1 Health
HP
Hester P's updateReviewer Update
12 Nov 2020, 17:32Good day
I did refer this matter to the Ombudsman.
I posted this experience for consumer's to be aware, mislead and not to be dealing with institution's such as your organisation.
I did refer this matter to the Ombudsman.
I posted this experience for consumer's to be aware, mislead and not to be dealing with institution's such as your organisation.
HP
Hester P's update12 Nov 2020, 17:32
Reviewer Update
Good day
I did refer this matter to the Ombudsman.
I posted this experience for consumer's to be aware, mislead and not to be dealing with institution's such as your organisation.
I did refer this matter to the Ombudsman.
I posted this experience for consumer's to be aware, mislead and not to be dealing with institution's such as your organisation.
Day1 Health's replyOfficial
16 Nov 2020, 08:58Dear Mrs Parisi,
Thank you for your recent post.
As discussed telephonically, whilst Day1 Health abided by the terms and conditions of its Policy Wording in rejecting your claim due to the fact that your hospital admission was less than the required 24 hours, we are of the view that there is merit in exploring whether your attending surgeon would be amenable to furnishing us with a motivational letter stipulating that the reason for your early release from hospital was due to the prevailing COVID-19 pandemic in which case we would be in a position to recommend to our insurer / underwriter that they, in the circumstances, honour your claim.
Rest assured, we shall revert to you on Monday, the 16th of November 2020 with further progress made regarding your matter as your attending surgeon has been away on leave and only returns to his practice then.
Day1 Health's reply16 Nov 2020, 08:58
Official
Dear Mrs Parisi,
Thank you for your recent post.
As discussed telephonically, whilst Day1 Health abided by the terms and conditions of its Policy Wording in rejecting your claim due to the fact that your hospital admission was less than the required 24 hours, we are of the view that there is merit in exploring whether your attending surgeon would be amenable to furnishing us with a motivational letter stipulating that the reason for your early release from hospital was due to the prevailing COVID-19 pandemic in which case we would be in a position to recommend to our insurer / underwriter that they, in the circumstances, honour your claim.
Rest assured, we shall revert to you on Monday, the 16th of November 2020 with further progress made regarding your matter as your attending surgeon has been away on leave and only returns to his practice then.
Day1 Health's replyOfficial
04 Jan 2021, 13:46Dear Mrs Parisi,
We trust that you are recovering well from your operations.
From our side, we are pleased that we were successful in obtaining a motivational letter from your attending specialist upon his return from annual leave and that our insurer’s were then in a position to honour your hospital claim as per our daily stated benefits.
Kind Regards,
Day1 Health
Day1 Health's reply04 Jan 2021, 13:46
Official
Dear Mrs Parisi,
We trust that you are recovering well from your operations.
From our side, we are pleased that we were successful in obtaining a motivational letter from your attending specialist upon his return from annual leave and that our insurer’s were then in a position to honour your hospital claim as per our daily stated benefits.
Kind Regards,
Day1 Health