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Andries S

1 reviews | Active since Jan 2015

03 Jul 2025, 16:13

Bad service

We have a gap cover at Sanlam, they just do not come back to us from April. If you phone they put you on hold till your money is up. They can take the monthly instalment but can not sort out the claim. We are more than a year by them, how bad is this. The paperwork is by another department, and so they just carry on.

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Replies (7)
Sanlam
Sanlam's reply03 Jul 2025, 16:18
Official
Good afternoon Andries

We are so sorry to learn of your poor service experience and have arranged for you to be contacted and assisted.

Regards
Sanlam Client Care
Sanlam
Sanlam's reply09 Jul 2025, 15:55
Official
Good day Andries

This is to confirm that you were contacted via email. Please respond to the email for further assistance.

Regards
Sanlam Client Care 
AS
Andries S's update10 Jul 2025, 11:25
Reviewer Update
Well now they say it is a PMB Condition, but the broken toe is not a PMB. it is a broken toe, so the specialist asked 200% more than tariff, and now they want a letter from the medical aid, for a broken toe.
The specialist used the PMB code, and a broken toe is not a PMB condition.
Still, they refuse to pay the Specialist. our medical did paid for the rest but the short fall, of R5000 we must pay, because the Gap cover refuse because it is now a PMB condition, what a joke.
Sanlam
Sanlam's reply10 Jul 2025, 11:39
Official
Hello Andries

We have relayed your complaint to Sanlam Gapcover.

Regards
Sanlam Client Care
Sanlam
Sanlam's reply10 Jul 2025, 13:54
Official
Good afternoon Andries

We have received feedback that Sanlam Gapcover has been in touch with you and that the matter is receiving attention.

Regards
Sanlam Client Care
AS
Andries S's update23 Jul 2025, 07:39
Reviewer Update
Good dayI am not happy I am struggle now with this from beginning of April 2025. This is not acceptable numerous phone calls and emails later and this is still not settle. Who is going to pay for the legal fees I had the procedure 5 months ago. I am a cancer patient on chemo daily, I fell and broke my toe badly due to chemo I am a diabetic now as well. Went to the GP was refer to a Orthopedic surgeon on the network and was refer to another surgeon due to very high risk with my cancer, chemo, high blood pressure, Diabetes and pressure on the brain due to chemo. This doctor charge more than medical scheme rates. Every time I phone I get told this is at the Claims department. I need answers A.S.A.P
Sanlam
Sanlam's reply23 Jul 2025, 08:06
Official
Good day Andries
 Thank you for your feedback regarding the complaint response. We apologize for any dissatisfaction caused. We're committed to resolving this matter to your satisfaction. Your message has been relayed to the relevant department for further review and action. 

Regards
Sanlam Client Care