ZP
Zahne P
1 reviews | Active since Jun 2018
14 Jun 2024, 11:53
Terrible Service
Absolutely terrible service. We've been with them for quite some time. I don't even know why we paying them every month. I've even escalated this with the claims manager and nothing gets done when you submit a claim.
Helpful (0)
Replies (1)0
Replies (1)
GapRisk Administrators's replyOfficial
01 Nov 2024, 10:55Good day, Ms Parsons
Thank you for your feedback.
Our records reflect that our claims manager had tried calling you/your husband (Lardus)on 083 ****884 and sent an email as confirmation on 11/06/2024. Claim was rejected due to no payment made by your medical scheme - in order for a claim to qualify for benefits, your scheme should pay a portion of the claim as GapCover is not a substitute for your medical scheme, but, a supplementary short-term insurance policy, governed by different rules from your medical scheme. Your follow-up claim received on 03/07/2024 was referred back to you as you did not provide all requirements. You were advised of what documents are outstanding, no further communication received from you.
As usual, we advise our clients to please carefully read your policy documents. Also, we offer a pre-assessment service where you can request a pre-assessment of your claim prior to your procedure.
Please feel free to contact us should you require further feedback to your concerns.
Kind regards,
The GapRisk / GapCover Team
Thank you for your feedback.
Our records reflect that our claims manager had tried calling you/your husband (Lardus)on 083 ****884 and sent an email as confirmation on 11/06/2024. Claim was rejected due to no payment made by your medical scheme - in order for a claim to qualify for benefits, your scheme should pay a portion of the claim as GapCover is not a substitute for your medical scheme, but, a supplementary short-term insurance policy, governed by different rules from your medical scheme. Your follow-up claim received on 03/07/2024 was referred back to you as you did not provide all requirements. You were advised of what documents are outstanding, no further communication received from you.
As usual, we advise our clients to please carefully read your policy documents. Also, we offer a pre-assessment service where you can request a pre-assessment of your claim prior to your procedure.
Please feel free to contact us should you require further feedback to your concerns.
Kind regards,
The GapRisk / GapCover Team
GapRisk Administrators's reply01 Nov 2024, 10:55
Official
Good day, Ms Parsons
Thank you for your feedback.
Our records reflect that our claims manager had tried calling you/your husband (Lardus)on 083 ****884 and sent an email as confirmation on 11/06/2024. Claim was rejected due to no payment made by your medical scheme - in order for a claim to qualify for benefits, your scheme should pay a portion of the claim as GapCover is not a substitute for your medical scheme, but, a supplementary short-term insurance policy, governed by different rules from your medical scheme. Your follow-up claim received on 03/07/2024 was referred back to you as you did not provide all requirements. You were advised of what documents are outstanding, no further communication received from you.
As usual, we advise our clients to please carefully read your policy documents. Also, we offer a pre-assessment service where you can request a pre-assessment of your claim prior to your procedure.
Please feel free to contact us should you require further feedback to your concerns.
Kind regards,
The GapRisk / GapCover Team
Thank you for your feedback.
Our records reflect that our claims manager had tried calling you/your husband (Lardus)on 083 ****884 and sent an email as confirmation on 11/06/2024. Claim was rejected due to no payment made by your medical scheme - in order for a claim to qualify for benefits, your scheme should pay a portion of the claim as GapCover is not a substitute for your medical scheme, but, a supplementary short-term insurance policy, governed by different rules from your medical scheme. Your follow-up claim received on 03/07/2024 was referred back to you as you did not provide all requirements. You were advised of what documents are outstanding, no further communication received from you.
As usual, we advise our clients to please carefully read your policy documents. Also, we offer a pre-assessment service where you can request a pre-assessment of your claim prior to your procedure.
Please feel free to contact us should you require further feedback to your concerns.
Kind regards,
The GapRisk / GapCover Team