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Danny I

1 reviews | Active since Jun 2023

30 Jun 2023, 17:59

Sunlam Matrix top cover

Iv have a Matrix top cover with Sunlam refusing to pay out for Knee replacement policy been active for over 2 years iv never missed a payment they telling me there’s a 5 year waiting period ?? There online applications sates benefit covers for knee replacement

0
Replies (7)
Sanlam
Sanlam's reply03 Jul 2023, 07:33
Official
Good day Danny
 
We are sorry to hear of your poor client service experience. Please respond to your private message.

Regards
Sanlam Client Care 

Best regards,

Sanlam
Sanlam's reply03 Jul 2023, 07:35
Official
Good day Danny

We are sorry to hear of your poor client service experience. To trace your record, we require some personal information from you. Please provide your ID or plannumber. This information will only be used to request the responsible department to investigate your complaint.

Regards
Sanlam Client Care

Best regards,

DI
Danny I's update03 Jul 2023, 15:02
Reviewer Update
Thank I’ve been waiting for over a month now I’ve always been loyal customer and always had full confidence in Sunlam so unsure with everything hope you can assist me this matter I urgently need a knee replace my life these last couple of month has been stressful I’m sole provider for my family , and thus why I’m with Sunlam 

regards Danny lesly Isaacs
I’d number ***
Matrix top cover

DR I DE WILDE INCORPORATED ORTOPEDIESE CHIRURG/ORTHOPAEDIC SURGEON
Suite 24A
Wilgeheuwel Hospitaal/Hospitaal Amplifierweg/road
Radiokop Ext 13
Roodepoort
21/06/2023
Posbus/PO Box 1405 HONEYDEW
2040
JHB
South Africa
TEL: +***3/ *** SEL/CELL: +***4
FAKS/FAX: +***3 ***
ATT: Sanlam Claims
RE: Mr. D.L. Isaacs ID: ***
M.B. Chb (Stell) M. Med (Orthop) (UFS)
PR NR/NO *** MP NR/NO ***
Mr. Isaacs came to see me on 20/06/2023 with pain to his right knee.
The patient previously injured his knee, which has caused instability of the knee as well as severe osteoarthritis to develop in the knee.
I have informed the patient the only course of treatment is a right total knee replacement. If you have any further queries, please do not hesitate to contact my roo
Sanlam
Sanlam's reply03 Jul 2023, 15:29
Official
Thank you for the information. We have referred it to the relevant department.

Regards
Sanlam Client Care

Best regards,

Sanlam
Sanlam's reply04 Jul 2023, 14:40
Official
Good day Danny 

We have received confirmation that you have been contacted and feedback was provided to you. 

Regards
Sanlam Client Care 

Best regards,

DI
Danny I's update05 Jul 2023, 08:19
Reviewer Update
Morning yes feedback was given and read my contract ! It clearly states that there is a waiting period only for natural cause my specialist clearly states theta I need a knee replacement cause by a injury.


DR I DE WILDE INCORPORATED ORTOPEDIESE CHIRURG/ORTHOPAEDIC SURGEON
Suite 24A
Wilgeheuwel Hospitaal/Hospitaal Amplifierweg/road
Radiokop Ext 13
Roodepoort
21/06/2023
Posbus/PO Box 1405 HONEYDEW
2040
JHB
South Africa
TEL: +***3/ *** SEL/CELL: +***4
FAKS/FAX: +***3 ***
ATT: Sanlam Claims
RE: Mr. D.L. Isaacs ID: ***
M.B. Chb (Stell) M. Med (Orthop) (UFS)
PR NR/NO *** MP NR/NO ***
Mr. Isaacs came to see me on 20/06/2023 with pain to his right knee.
The patient previously injured his knee, which has caused instability of the knee as well as severe osteoarthritis to develop in the knee.
I have informed the patient the only course of treatment is a right total knee replacement. If you have any further queries, please do not hesitate to contact my room
Sanlam
Sanlam's reply05 Jul 2023, 09:21
Official
Good day Danny 

Thank you for the information. Feedback will be provided to you by the Sanlam Arbitrator's office.

Regards
Sanlam Client Care

Best regards,