JT
Jacob T

1 reviews | Active since Nov 2022

14 Nov 2022, 12:25

No Ethics No Term and Conditions provided only at claim stage

I’m really a unhappy Client I do not agree with the decision taken of this claim Firstly when i had that horrible accident at work my thoughts were death I was in tubes and machines for the longest time ever in my life in hospital. I was treated and clean bill of health with a check up after 3 weeks of discharge Unfortunately due to financial reasons I couldn’t maintain the policy premiums leading my policy to lapse The Financial Advisor came to see me and because I wanted to enjoy benefits of loyalty cash back I decided to Reinstate my policy I asked if I should make the outstanding payments and was told no When I was assisted by your Advisor to complete this health statement she could see I was doing better because even after my check up I was told I’m recovering well I woke up one morning and was struggling to breath because I have a hospital file I was rushed to hospital this is when Dr Mohammad said this was weird that they didn’t pick up the possibility of such a chronic condition after my accident. Now if Metropolitan claims I **** on my insurance document why at the time of the reinstatement was I not told to get a doctor to confirm my medical condition I felt well and was recovering well I have since consulted with the doctors at the hospital You know public hospitals have different doctors all the time I am now seeing another department due to this Chest wall disease I now go to another area of the hospital no longer the one I visited after my accident at work I am a 60 year old who now is living with this condition and had entrusted Metropolitan life insurance to see to my hospital benefits at admission If you say I **** on my health statement why was this health statement not requested to be completed by a medical doctor for you now to be giving me this bull**** of excuses is nonsense I have a similar cover with Clientele and they requested a letter from the doctor to continue with their policy should Metropolitan not have done this ? I have since been paid for my recent visit because like any accident some illnesses will creep up on you and an aging body I Demand this claim be reconsidered and reinstatement terms and conditions be provided where it deems me a medical doctor to confirm my good faith of my health if you ask anyone if they feel healthy and they wake up fine after a hospital visit that long even after a doctor visit after discharge and he gives you a clean bill of health and to be told I’m lying at 60 that is totally bogus unreasonable and unfair If you want me to pay the premiums I missed I will do that but it seems you also unsure of the facts Don’t you have documentation that a doctor fills out instead of the Client? Does this mean that no claim will ever pay out because I considered myself good health at the time of that document being completed ?? I want to know so as to communicate this to everyone I have encouraged to take this policy to cancel it and move to Clientele who know what they are doing I asked for the reinstatement conditions none were given Metropolitan is a ***** and a lier of an insurance company Because it is not transparent when I took out this policy I was a healthly man Until my accident I’m on chronic medication now after this recent hospital stay and am told by doctors I could find myself in and out of hospital due to lung issues since the rib fracture did harm to Me

So will u never pay out on this policy if I’m hospitalised? Give me terms and conditions that you were meant to give me at reinstatement stage so I can take this up with the Ombudsman this is you treating a Client unfairly and discriminating against my knowledge of my health compared to what I am now being told after my 2nd admission to hospital I’m disgusted and angry

I demand everything in writing because this will go to the ombudsman

0
Replies (5)
Metropolitan Life
Metropolitan Life's reply14 Nov 2022, 15:20
Official
Dear Mr Jacob Tshabalala

We acknowledge receipt of  your complaint.

We regret to learn of the difficulties you have encountered with your claim.

One of our Client Care Assessors will investigate and revert back to you accordingly..

Kind Regards

Client Care Team
JT
Jacob T's update14 Nov 2022, 16:23
Reviewer Update
I want a letter you sent to me with regards
To the waiting period after reinstatement of my policy I’m sick of your lies and lack of information being provided to me as your Client
I DEMAND response tomorrow
Metropolitan Life
Metropolitan Life's reply15 Nov 2022, 08:20
Official
 We acknowledge receipt of  your complaint.

We regret to learn of the difficulties you have encountered with your claim.

One of our Client Care Assessors will investigate and revert back to you accordingly..

Kind Regards

Client Care Team 
JT
Jacob T's update16 Nov 2022, 10:15
Reviewer Update
It’s been 2 days with no email response from you as a company I demand answers as a Client
Metropolitan Life
Metropolitan Life's reply17 Nov 2022, 10:44
Official
 

We acknowledge receipt of  your complaint.

We regret to learn of the difficulties you have encountered with your claim.

One of our Client Care Assessors will investigate and revert back to you accordingly..

Kind Regards

Client Care Team