BW
Bronwin W

1 reviews | Active since Jan 2022

06 Feb 2024, 12:34

MedGap

I have had a policy with MedGap for over three years. I've never had shortfalls on my medical aid until now. I initially only signed up with MedGap because as a Bonitas member I was told that my claims would be seamless. My experience is that the claims process is nothing but seamless. After submitting a claim with all documentation I could possibly send, MedGap is refusing to process my claim because of discrepancies between the medical aid statement and the doctor's invoice. Eventually I received the original doctor's invoice and Bonitas claims report which matches but they are still refusing. It is so frustrating dealing with them. I barely receive any feedback. Their communication with Bonitas is also shocking! I had to communicate between the two companies. I wouldn't recommend MedGap and will be changing to a better Gap Cover.

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Replies (3)
Guardrisk Insurance
Guardrisk Insurance's reply06 Feb 2024, 14:32
Official
Dear  Bronwin Welcome 
Thank you for raising your concerns with us.

Your complaint has been escalated to the relevant Administrator and we will be in contact shortly to assist further. 

Yours Sincerely,
The Guardrisk Team 
BW
Bronwin W's update01 Mar 2024, 15:31
Reviewer Update
I received detailed correspondence from MedGap after raising this complaint.
I was told that I could either let them process the claim based on the information they have or keep waiting for further documentation. I responded to ask them to please finalise the claim with the information they have. They still haven't!!!
This has still not been finalised and the claim is in a state of limbo.
Guardrisk Insurance
Guardrisk Insurance's reply04 Mar 2024, 08:51
Official
Dear Bronwin Welcome, 
Kindly note that we will forward the details  through to relevant  department.

They will reach  out and assist you further .

Yours Sincerely,
The Guardrisk Team