TG
Terry G
1 reviews | Active since Dec 2010
11 Dec 2019, 12:20
Gap Cover with no benefits
I have a Sanlam Gap Cover Policy since March 2017. For the first time since taking out my policy, I submitted a claim for a co-payment which I had to pay upfront when my husband was admitted into hospital for a Gastroscopy. After 10 days of submitting my claim, I received a claim rejection email. The reason for the rejection is nonsensical. According to their website, the Gap Cover Policy covers co-payments. Sanlam is trying their luck with me but I will not accept this. I am within my rights to receive reimbur*****t for this co-payment. Should Sanlam not deliver on their promise as per their policy details, I wil ldefinitely be taking this the legal way.
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Replies (4)0
Replies (4)
Sanlam's replyOfficial
11 Dec 2019, 13:10Good day, Terry
We are mindful that the client experience was not perhaps what you expected. We are committed to change it. It is for this purpose that your case was now escalated to the relevant department for urgent attention. Note that a consultant will make direct contact with you and make sure you get the direct contact detail of the consultant. We would encourage you that all future dealings relating to this matter should be handled directly with this consultant for a more expeditious handling of your case. RegardsClient Relations
We are mindful that the client experience was not perhaps what you expected. We are committed to change it. It is for this purpose that your case was now escalated to the relevant department for urgent attention. Note that a consultant will make direct contact with you and make sure you get the direct contact detail of the consultant. We would encourage you that all future dealings relating to this matter should be handled directly with this consultant for a more expeditious handling of your case. RegardsClient Relations
Sanlam's reply11 Dec 2019, 13:10
Official
Good day, Terry
We are mindful that the client experience was not perhaps what you expected. We are committed to change it. It is for this purpose that your case was now escalated to the relevant department for urgent attention. Note that a consultant will make direct contact with you and make sure you get the direct contact detail of the consultant. We would encourage you that all future dealings relating to this matter should be handled directly with this consultant for a more expeditious handling of your case. RegardsClient Relations
We are mindful that the client experience was not perhaps what you expected. We are committed to change it. It is for this purpose that your case was now escalated to the relevant department for urgent attention. Note that a consultant will make direct contact with you and make sure you get the direct contact detail of the consultant. We would encourage you that all future dealings relating to this matter should be handled directly with this consultant for a more expeditious handling of your case. RegardsClient Relations
Sanlam's replyOfficial
11 Dec 2019, 15:14Good day, Terry
We were informed that a consultant has contacted you. We will be closing the case on the Hello Peter platform as your enquiry is now being dealt with by the relevant department. Should there be any other issues relating to the matter, we once again encourage you to make direct contact with the relevant consultant. We value you as a client.
Kind regards,
Client Relations
We were informed that a consultant has contacted you. We will be closing the case on the Hello Peter platform as your enquiry is now being dealt with by the relevant department. Should there be any other issues relating to the matter, we once again encourage you to make direct contact with the relevant consultant. We value you as a client.
Kind regards,
Client Relations
Sanlam's reply11 Dec 2019, 15:14
Official
Good day, Terry
We were informed that a consultant has contacted you. We will be closing the case on the Hello Peter platform as your enquiry is now being dealt with by the relevant department. Should there be any other issues relating to the matter, we once again encourage you to make direct contact with the relevant consultant. We value you as a client.
Kind regards,
Client Relations
We were informed that a consultant has contacted you. We will be closing the case on the Hello Peter platform as your enquiry is now being dealt with by the relevant department. Should there be any other issues relating to the matter, we once again encourage you to make direct contact with the relevant consultant. We value you as a client.
Kind regards,
Client Relations
TG
Terry G's updateReviewer Update
11 Dec 2019, 15:17Thank you for promptly addressing my issue. I have spoken with a consultant. You may close the case on this platform.
TG
Terry G's update11 Dec 2019, 15:17
Reviewer Update
Thank you for promptly addressing my issue. I have spoken with a consultant. You may close the case on this platform.
TG
Terry G's updateReviewer Update
12 Dec 2019, 10:13Well is seems as though I was asked to liaise with the consultant so that it wouldn't become public knowledge that my claim is still being rejected. I am not at all satisfied with the outcome of my dispute. I believe that Sanlam has been misleading in the description of their services. I will not rest until this matter is resolved. The reason for having to take out a Gap Cover Policy is so that individuals are not left with enormous debt as a result of medical issues. I was never informed that a hospital co-payment does not qualify to be covered by Gap Cover. Sanlam are cheating me and I will take this matter further until I am reimbursed. And if not, I will be sure to let everyone know that Sanlam Gap Cover does not provide the services it eludes to. Further to this, I will be cancelling my Gap Cover and filing a suit to have my premiums returned to me.
TG
Terry G's update12 Dec 2019, 10:13
Reviewer Update
Well is seems as though I was asked to liaise with the consultant so that it wouldn't become public knowledge that my claim is still being rejected. I am not at all satisfied with the outcome of my dispute. I believe that Sanlam has been misleading in the description of their services. I will not rest until this matter is resolved. The reason for having to take out a Gap Cover Policy is so that individuals are not left with enormous debt as a result of medical issues. I was never informed that a hospital co-payment does not qualify to be covered by Gap Cover. Sanlam are cheating me and I will take this matter further until I am reimbursed. And if not, I will be sure to let everyone know that Sanlam Gap Cover does not provide the services it eludes to. Further to this, I will be cancelling my Gap Cover and filing a suit to have my premiums returned to me.