MD
Melissa D

1 reviews | Active since Jun 2010

31 Oct 2025, 09:56

Struggling with claim reimbur*****t for the 5th month now

I have submitted a claim in June 2025, but Im struggling with being reimbursed. I have a gap claim mediclinic extender, for when I do go to a mediclinic, that those costs be covered, but now Im being told it wasn't after hours. I took my child to the hospital on a Saturday, as our GP is not open on a Saturday - is it expected that I should put my child`s life at risk just to wait for after hours, whilst my child is vomiting?! Seeing that all calls are recorded, can you please go back to the recordings because I was explained that I can go the mediclinic and then just claim back, I was not told about after hours or any such things. I am waiting in anticipation for the monies to be paid out please, as I need it urgently, I dont have money just laying around.

0
Replies (5)
Sanlam
Sanlam's reply31 Oct 2025, 10:17
Official
Good day, Melissa

Thank you for your review.

We have escalated the matter to the Gapcover team for assistance.

Regards
Sanlam Client Care
Sanlam
Sanlam's reply31 Oct 2025, 11:21
Official
Hello Melissa

We have received feedback that an email has been sent to you.

Regards
Sanlam Client Care
MD
Melissa D's update31 Oct 2025, 13:53
Reviewer Update
I got a response from Sanlam, saying the admit date was 17 May 2025, on a Tuesday, which is not the case, 17 May 2025 was on a Saturday, they are just looking for reasons not to pay.
Sanlam
Sanlam's reply31 Oct 2025, 14:00
Official
Hello Melissa

We have relayed your message to Gapcover team.

Regards
Sanlam Client Care
Sanlam
Sanlam's reply31 Oct 2025, 17:11
Official
We have received notification that Sanlam Gapcover has been in touch with you. 

Regards
Sanlam Client Care