CW
Christel W

1 reviews | Active since Mar 2021

23 Mar 2021, 17:07

Sanlam refuse to read doctors reports and blood results

If I could rate zero I would have I submitted a claim that got declined due to a preexisting condition. YOUR policy reads and I quote: "These medical exclusions will not apply if it is evident that the anatomical part, disease, disorder dysfunction excluded in the plan, has not caused or worsened the claim event, or made it more likely to happen."

I have supp**** doctors reports and blood results that clearly shows my claim was not due to a preexisting condition. They don't even acknowledge the blood results or doctors reports that states it was not part of the preexisting conditions. I followed the correct channels to dispute it but it is still declined. I feel that it is unfair for Sanlam to handle their own disputes because they will obviously not own up to their original mistake.

0
Replies (2)
Sanlam
Sanlam's reply23 Mar 2021, 17:15
Official
Dear Christel 

We acknowledge receipt of your complaint. Pleasr provide your ID or policy number in the private field for further investigation.

Kind regards 
Sanlam Client Relations
CW
Christel W's update23 Mar 2021, 19:07
Reviewer Update
My policy numbers are ***1x9 & ***5x6 not that I have any faith in you resolving it. You just going to come back and say it is an exclusion on the policy despite YOUR policy wording

"These medical exclusions will not apply if it is evident that the anatomical part, disease, disorder dysfunction excluded in the plan, has not caused or worsened the claim event, or made it more likely to happen."

I provided doctors reports and blood results that clearly states my preexisting condition DID NOT contributed to the claim event. Being an income protection you guys will be first in line to take your premiums with what money I don't know