LP
LEVASHNI P

1 reviews | Active since Feb 2022

05 Aug 2024, 10:38

PATHETIC SERVICE WHEN IT COMES TO CLAIMS- THEY LOOK FOR REASONS NOT TO PAY YOU!

If I could give you a negative star review I would!

My sister had a claim with Momentum due to her recent Lupus diagnosis. After months of deliberation, back and forth emails, tons of paperwork, she is told that her claim is rejected and her premiums paid back. The reason for them rejecting her claim was that she was prescribed a tablet in 2017 that is for arthritis and she did not disclose that to them. At that point in 2017 my sister had joint pain , she was not diagnosed with any condition. The GP gave her that tablet to see if it helped manage her pain. She was even told that she lacked vitamins and was told to go on supplements and iron injections.

How do you reject a claim based on that??? How do you reject a claim if a person was not diagnosed but rather treated for other ailments , JOINT PAIN in this case ! How is it an individuals fault?

0
Replies (5)
Momentum (SA)
Momentum (SA)'s reply05 Aug 2024, 12:18
Official
Levashni

We would like to assist you, but I see you mention that the claim was in the name of your sister.

Can you please provide us with your sister's initials, surname, contract number as we need to trace her policy contract and the applicable business area before we can refer the matter for escalation.

There are various business areas within the company, and we therefore require your sister's information to determine the area that will address the concerns you have raised.

Kind regards

EdB 
LP
LEVASHNI P's update05 Aug 2024, 13:20
Reviewer Update
Policy no: ***
Momentum (SA)
Momentum (SA)'s reply05 Aug 2024, 13:24
Official
Levashni

Thank you for the feedback.

The matter has been escalated to the relevant business area for urgent attention.

Kind regards

EdB
LP
LEVASHNI P's update23 Aug 2024, 08:55
Reviewer Update
Good day. I trust that you are well. My sister is yet to receive your urgent attention, its been almost 3 weeks now
Momentum (SA)
Momentum (SA)'s reply23 Aug 2024, 12:06
Official
Levashni

We take note of your comments.
 
Please be advised that we cannot provide a 3rd party with information and medical information is confidential.
 
We have provided a response to your sister on 29 July 2024, this was mailed to her.

Regards

EdB