NM
Nicholas M
1 reviews | Active since Oct 2019
18 Oct 2019, 17:12
HOSPITAL POLICY
Took out hospital insurance in 2013 and have been paying since then until July 2019 when I had to go into hospital for a heart procedure. I was in hospital for 4 days - from Sunday morning to Wednesday afternoon. When I took out my policy the conditions were that I had to stay in hospital for 2 days to qualify for payout and the payout would be R1 000.00 for each day spent in hospital.
When I submitted my claim they rejected it and said my hospital stay was too short to qualify for payout and the payout was adjusted to R250.00 per day if I had been paid. They claimed they sent me policy adjustments by email which I never received.
This company is cheating people. They will not pay for claims.
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Replies (2)
Prime South Africa's replyOfficial
21 Oct 2019, 07:40Dear Nicholas M
Thank you for your post.
We are truly sorry to learn of your dissatisfaction. We will be conducting a thorough investigation into your concern to better understand what took place and find a possible solution.
We promise to give you preliminary feedback by no later than two working days.
Assuring you of our continued best endeavours on your behalf.
The PMD Team.
Prime South Africa's reply21 Oct 2019, 07:40
Official
Dear Nicholas M
Thank you for your post.
We are truly sorry to learn of your dissatisfaction. We will be conducting a thorough investigation into your concern to better understand what took place and find a possible solution.
We promise to give you preliminary feedback by no later than two working days.
Assuring you of our continued best endeavours on your behalf.
The PMD Team.
Prime South Africa's replyOfficial
24 Oct 2019, 10:08Dear Nicholas M,
Thank you for taking the time to bring your displeasure to our attention - we value all feedback from our policyholders as we strive to offer world class service.
We are truly sorry to learn of your recent hospitalisation. Your claim unfortunately falls outside the ambit of your policy as set out in terms and conditions you received.
As you are aware, a member of our Market Conduct Team has already be in contact with you to explain our position further.
Assuring you of our continued best endeavours.
Kind regards,
The PMD team
Prime South Africa's reply24 Oct 2019, 10:08
Official
Dear Nicholas M,
Thank you for taking the time to bring your displeasure to our attention - we value all feedback from our policyholders as we strive to offer world class service.
We are truly sorry to learn of your recent hospitalisation. Your claim unfortunately falls outside the ambit of your policy as set out in terms and conditions you received.
As you are aware, a member of our Market Conduct Team has already be in contact with you to explain our position further.
Assuring you of our continued best endeavours.
Kind regards,
The PMD team