Forever Greatful

I would just like to share my experience with Sanlam Blue Star specifically a guy by the name of Abdulla Banderker

Scenario: In Feb 2020 my father had a major heart attack and was rushed to Panorama via ambulance. Upon getting there we were informed this is an out of hospital network (As my father was at that stage on FlexiFed 1) and that we had to pay a co payment of R6700 of which we done.

While waiting from doctors as they had to get authorization for my father to have a emergency triple bypass from Panorama hospital (Because the doctors said they cannot move him to another hospital as it was too dangerous). At that stage we were informed that would the authorization be accepted we would have to use our gap cover, as there will be out of hospital network rates due to this being a non hospital network for FlexiFed 1.

During this stressful time my brother and myself was not sure if my father was going to die or not as the authorization, as everyday we were on the phone for hours calling people and trying to find out how long and if the authorization would be approved.This was stressful as my fathers life was in danger and this bypass needed to be done ASAP.It took days before the doctors informed us that they got the go ahead to do the operation.

However before the authorization was approved upon waiting and visiting my father there was a guy who was visiting his Family called Abdulla (from Peninsula Bluestart from Sanlam) and he approached us as he could hear we were battling to get the authorization for the triple bypass to be approved , and informed us that he deals with all medical aids and that he over heard our problem and should we not come right to whatsapp him. I promise you this guy was a God sent as we are completely clueless about medical aid. He then spoke to us in order to get the full details of what happened and informed us that this would be treated as a PMB even though it is out of our hospital network because my father was rushed via Ambulance and because there was no other cardio hospitals that had a place for my father.

After everything was done (and Abdulla followed up everyday after the operation to find out how my fathers recover was), Abdulla then informed me that any bills I receive from the hospital and FedHealth that I need to send it to a lady by the name of Caroline Du Toit from Fedhealth. Months went by where every statement I got from Fedhealth showed shortfalls and payments that I needed to make. They even deducted the fund from my father Fathers Medical Saving account therefore depleting his savings.

Caroline and myself dealt with all the bills and statementss for about three months sending back and forth information. My shortfall that I would have had to submit to Sanlam Gap cover would have been over R100 000, but through Caroline's dedication, she manged to pull off a miracle and resubmitted everything correctly which resulted in my shortfall being R0 , which now meant that nothing needed to be submitted to Gap cover. Besides pulling off this miracle she also managed to get the co payment of R6700 waivered and paid back to our bank accounts from Panorama hospital.

I was completely shocked at how she managed to get this right, as I was expecting to pay for the shortfall using the gap cover for my father I took out , however because of this woman she saved me so so much stress .

I am very grateful for her help as everyday she worked non stop on this trying to resolve everything,and had the utmost patience everytime I asked a question or sent her an email or statement. She even managed to get the saving in my fathers medical put back as this was not supposed to be deducted causing it to be depleted.

I will never forget what they have done for me and my family and to be honest possibly even saving my fathers life ,I wish to say is a big thank you to both Abdulla and to Caroline as without their help I would not have known how to manage this and I hope whoever their managers are that they truly give recognition to them for this , as never in my life have I come across people like this that go way over the extra mile.

I think more people is needed like this. I was really a great and wonderful experience to deal with them and I will forever be thankful for them

If any of there managers would like to call me to confirm this my number is Jason ***