AN
ABONGILE N
1 reviews | Active since Aug 2014
20 May 2015, 14:07
**** ADVERTISING: CANNOT CLAIM FOR HOSPITAL PLAN
I am writing this report on behalf of my mother who is on sick leave currently (Bed rest).<br> <br> My mother has a hospital plan with Prime Meridian Direct, she has signed in with them May 2013 for a hospital plan. There is nothing on the contract which states that I cannot claim within certain hours etc. My mother was hospitalized from the 6th of May to the 9th of May. <br> <br> To her surprise she was told that she will not be able to claim for the 4 days she was in hospital which it was not stated in the contract.
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Replies (1)Prime South Africa's replyOfficial
22 May 2015, 14:04Hello e935896,
We are sorry to learn of your mother's ill health and hope that she will return to good health soon.
A thorough review of the purchase conversation shows that our tele-assistant did an exceptional job in precisely explaining all the policy features and how they apply to your mother.
Unfortunately, your mother's stay in hospital did not meet the disclosed requirements of this specific policy and as a result we were unable to assist her this time around.
You may expect to receive a formal letter containing details of the reasons for not approving her claim.
Assuring you of our continued best endeavours.
Kind Regards,
The PMD Team
We are sorry to learn of your mother's ill health and hope that she will return to good health soon.
A thorough review of the purchase conversation shows that our tele-assistant did an exceptional job in precisely explaining all the policy features and how they apply to your mother.
Unfortunately, your mother's stay in hospital did not meet the disclosed requirements of this specific policy and as a result we were unable to assist her this time around.
You may expect to receive a formal letter containing details of the reasons for not approving her claim.
Assuring you of our continued best endeavours.
Kind Regards,
The PMD Team
Prime South Africa's reply22 May 2015, 14:04
Official
Hello e935896,
We are sorry to learn of your mother's ill health and hope that she will return to good health soon.
A thorough review of the purchase conversation shows that our tele-assistant did an exceptional job in precisely explaining all the policy features and how they apply to your mother.
Unfortunately, your mother's stay in hospital did not meet the disclosed requirements of this specific policy and as a result we were unable to assist her this time around.
You may expect to receive a formal letter containing details of the reasons for not approving her claim.
Assuring you of our continued best endeavours.
Kind Regards,
The PMD Team
We are sorry to learn of your mother's ill health and hope that she will return to good health soon.
A thorough review of the purchase conversation shows that our tele-assistant did an exceptional job in precisely explaining all the policy features and how they apply to your mother.
Unfortunately, your mother's stay in hospital did not meet the disclosed requirements of this specific policy and as a result we were unable to assist her this time around.
You may expect to receive a formal letter containing details of the reasons for not approving her claim.
Assuring you of our continued best endeavours.
Kind Regards,
The PMD Team
