Inconsiderate and unfair treatment.

On Friday 9 April 2021 my wife sustained a fractured ankle when she slipped and fell whilst going for a walk. I took her to the casualty ward of the hospital for treatment and the X-rays taken of her ankle confirmed that she sustained 2 fractures. As her ankle was severely swollen, the doctor on duty wanted to admit her into hospital for treatment and to allow the swelling to subside before he could place her leg in a cast. He however decided to rather send her home and not admit her into hospital due to the risk of contracting the corona virus, and advised her to return to the hospital 2 days later to place her leg in a cast. On Monday we reported the incident to a consultant at Momentum Health as we are members of a Hospital Plan with them. I explained to the consultant what happened and that I am aware that the Hospital Plan only cover claims for hospital admissions and she then recommended that I will have to submit a motivation letter from the doctor as proof of the sequence of events for the claim to be settled. On Tuesday I e-mailed the doctor's motivation letter to Momentum Health as requested and on Wednesday I was informed that the claim will not be settled due to my wife not being admitted into hospital. After lodging a complaint I was informed that I need to submit casualty notes from the doctor and the X-ray reports of her ankle before it will be considered to settle the claim. I have decided not to waste any more of my time and money to try and settle a small claim like this after being a member for almost 2 years with Momentum Health and this being our 1st claim. I find their service unprofessional and unfair and will not recommend their Hospital Plan to anyone. I terminated my membership with them immediately and reversed the last payment to pay for some of the cost's involved as we are self-employed in the tourism business and hardly earn any income currently with the epidemic situation.