EM
Elvis M

1 reviews | Active since Jul 2023

12 Oct 2023, 14:28

so disappointed with momentum

I am an momentum client for the past 19 years, i did not skip any payment for the past 19 year. in 2022 i fell at work, from then i have been suffering with chest pain on my left side, for the past year i have been in and out at Hospital due to chest pain, i'm straggling to work as a motor mechanic. in August 2023 a CT scan was done and rib fractures were seen, when i submitted a claim to momentum i was declined. they say rib fractures does not fall under critical illness. on the other policy own occupational disability they say no rib fractures seen on the scan, but i gave them CT scan report, with 3 rib fractures on it, i'm so disappointed, maybe is because of the color of my skin? i do not know. i think the world should know about this.

0
Replies (8)
Momentum (SA)
Momentum (SA)'s reply13 Oct 2023, 08:27
Official
Thank you for informing us of your concerns. The matter has been escalated for assistance and feedback.

Kind regards
NH
Momentum (SA)
Momentum (SA)'s reply13 Oct 2023, 08:58
Official
Dear Elvis,

The Myriad management team provided the following feedback.

You have referred the matter to an independent forum already and our decision was upheld.

Kind regards.
EM
Elvis M's update30 Oct 2023, 13:38
Reviewer Update
Hi, you told me your decision was upheld, but till today there is nothing happening with my claim. every time i call they say Puleng is on lunch or off sick. i'm really lost of words..

EM
Elvis M's update02 Nov 2023, 14:51
Reviewer Update
Hi, my own occupational disability claim was declined, without any explanation. i don`t know why momentum is doing this.
Momentum (SA)
Momentum (SA)'s reply02 Nov 2023, 15:46
Official
Dear Elvis
Thank you for your message. We take note of your comment.
Kind regards
mvdm
EM
Elvis M's update03 Nov 2023, 08:52
Reviewer Update
morning, my appeal it was for two policies, 1 critical illness , 2 own Occupational Disability. but i only got the results for one police, Critical illness. where are the results for other policy, Own occupational Disability?
I know my spine is not covered. but not my chest or ribs, please help me with that.
Momentum (SA)
Momentum (SA)'s reply03 Nov 2023, 09:13
Official
Elvis

We have referred the matter to the Claims area for their urgent attention. We can unfortunately not divulge your personal policy information on a social media website. The Claims department will be in communication with you.

Kind regards
EdB
EM
Elvis M's update03 Nov 2023, 21:05
Reviewer Update
Hi, you said to qualify for a claim under the Own Occupation Disability benefit, the following contractual definition must be met. Disability caused by a bodily injury or illness to such an extent that the insured life is totally and permanently unable to perform the normal duties of her own occupation. that is exactly what is happening with me. i have stop doing my normal job as Motor Mechanic because of chest pain, cause by rib fractures. my doctor told me to leave this job because i'm causing more damage on my ribs. that is why i'm claiming.

EXCLUSION
i know my spine is not covered.