SH
Stephen H

1 reviews | Active since Mar 2009

17 Jan 2025, 14:18

I cannot recommend them at all

I had an operation done in hospital early Aug '24. I've put in a claim for Gap Cover afterwards. After numerous attempts so much so that my own email address was ultimately blocked by their IT dept they finally paid an amount at the end of Dec only putting me quite far in arrears with several doctors. The amount they paid out was nowhere near what I required or claimed for and was over R7000 less than what I'm entitled to claim. This leaves me with quite an amount left to pay out-of-pocket. I've been paying Kaelo for YEARS and accepted their crazy increases without complaint but when you need them, they're like ghosts and when they do decide to show face it's either with multiple excuses, tons of forms to re-fill in again or they just short pay. I would not recommend them to anyone! I was expecting a lot more from a company backed by an old institution such as Santam.

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Replies (3)
Kaelo
Kaelo's reply20 Jan 2025, 08:30
Official
Good day Stephen, we are very sorry to hear this and want to ensure this is resolved as soon as possible. The matter has been escalated and you should be contacted soon. 

SH
Stephen H's update21 Jan 2025, 14:56
Reviewer Update
Well, the hope was short=lived. I received a phone call during a meeting which I couldn't answer for obvious reasons and that was the first and last attempt from Kaelo other than sending me an email that it has been "escalated". I then phoned on my own only to get confirmation that I've received an email and that they've re-opened the claim for further assessment only to reject their own reopened claim again. I have had no contact with any person in charge of the situation as they're all afraid of conflict as they know they're in the wrong. (in correction to my initial post, I retract the brand Santam as I mean to write Sanlam).
Thank you but no thank you. I will be closing this policy and finding a better provider, that's not even up for discussion.
Kaelo
Kaelo's reply21 Jan 2025, 15:43
Official
This is concerning, our team will be in touch to make sure this matter is resolved fairly.