YS
Yashvir S
1 reviews | Active since Feb 2023
17 Nov 2025, 16:08
Needs assessment not taken into consideration in the pursuit of profit and commission
They recommended that we should change gap cover to their own in house service provider despite us being on a better plan previously. They did not do a proper needs assessment when recommending this. When time came for their gap cover to pay out, they repudiated the claim.
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Replies (4)0
Replies (4)
Optivest's replyOfficial
17 Nov 2025, 16:29 Dear Yashvir,
Thank you for your recent review on Hello Peter.
Unfortunately, due to the DSP's between what your medical scheme covers and what Gap Cover is permitted to cover, the claims in question cannot be paid. We have provided you with direct feedback on this matter and submitted multiple requests to the scheme asking for a review. These requests were declined in line with the scheme’s rules.
We understand your frustration; however, we have exhausted all possible avenues to assist in having these claims covered.
Kind regards,
Optivest Health Services
Optivest's reply17 Nov 2025, 16:29
Official
Dear Yashvir,
Thank you for your recent review on Hello Peter.
Unfortunately, due to the DSP's between what your medical scheme covers and what Gap Cover is permitted to cover, the claims in question cannot be paid. We have provided you with direct feedback on this matter and submitted multiple requests to the scheme asking for a review. These requests were declined in line with the scheme’s rules.
We understand your frustration; however, we have exhausted all possible avenues to assist in having these claims covered.
Kind regards,
Optivest Health Services
YS
Yashvir S's updateReviewer Update
17 Nov 2025, 16:38Perhaps you should take longer than 21 minutes to read the complaint rather than rushing to respond.
My issue is with your SALES AGENT who suggested an inferior quality cover to the one that I had previously. Presumably this is because they did not do a proper needs assessment and compare the policies correctly.
Zelda gets a 5 star rating. Optivest as a business - 1 Star.
My issue is with your SALES AGENT who suggested an inferior quality cover to the one that I had previously. Presumably this is because they did not do a proper needs assessment and compare the policies correctly.
Zelda gets a 5 star rating. Optivest as a business - 1 Star.
YS
Yashvir S's update17 Nov 2025, 16:38
Reviewer Update
Perhaps you should take longer than 21 minutes to read the complaint rather than rushing to respond.
My issue is with your SALES AGENT who suggested an inferior quality cover to the one that I had previously. Presumably this is because they did not do a proper needs assessment and compare the policies correctly.
Zelda gets a 5 star rating. Optivest as a business - 1 Star.
My issue is with your SALES AGENT who suggested an inferior quality cover to the one that I had previously. Presumably this is because they did not do a proper needs assessment and compare the policies correctly.
Zelda gets a 5 star rating. Optivest as a business - 1 Star.
YS
Yashvir S's updateReviewer Update
17 Nov 2025, 16:44For the sake of clarity, it was the same sakes agent, who sold me the Medical Aid cover that is also proving to be problematic. My mistake was trusting that the sales agent would identify any gaps on my cover and cover them with a suitable complementary cover. Hence the conclusion that a proper needs assessment was not carried out. Long story short - be VERY careful when dealing with Optivest's sales team.
YS
Yashvir S's update17 Nov 2025, 16:44
Reviewer Update
For the sake of clarity, it was the same sakes agent, who sold me the Medical Aid cover that is also proving to be problematic. My mistake was trusting that the sales agent would identify any gaps on my cover and cover them with a suitable complementary cover. Hence the conclusion that a proper needs assessment was not carried out. Long story short - be VERY careful when dealing with Optivest's sales team.
Optivest's replyOfficial
18 Nov 2025, 08:35Dear Yashvir
Thank you for the additional posts, we have taken note thereof as part of your complaint.
Kind regards
Optivest Health Services
Thank you for the additional posts, we have taken note thereof as part of your complaint.
Kind regards
Optivest Health Services
Optivest's reply18 Nov 2025, 08:35
Official
Dear Yashvir
Thank you for the additional posts, we have taken note thereof as part of your complaint.
Kind regards
Optivest Health Services
Thank you for the additional posts, we have taken note thereof as part of your complaint.
Kind regards
Optivest Health Services