1 reviews | Active since May 2016
Very utterly disgusted in Sanlam GAP cover
I would like to express how utterly disgusted I am in this Sanlam GAP cover which seems to be affiliated with Kaelo. This was something that was suggested to me by Fedhealth when I joined the medical aid. The reason for me taking the GAP cover was so that if there is any co-payment required then atleast I know I can get my money back and not have any financial stress. My son had an operation on the 5 August 2019 and there was a Co payment of R 3100.00. The 6 August ive submitted my documentation including POP and received the following reference ***.I have been calling in back and fourth regarding this claim and ive been told give it 2-3 working days. Eventually I contacted fedhealth and they put me through to the sales representative that did the Sanlam GAP cover application for me and he put me through to a consultant at Sanlam GAP cover which told me I was sent the wrong claims form. Completed the new claims form and sent it to the email address given to me on the claims form and received the following references: *** I called on 22 August and spoke to a lady and she advised me that the documents was checked on the 18 August and all that needs to happen is that Authorisations will send me an email stating when payout will take place but I must give it 2-3 working days and then call in as Authorisations is backlogged. This morning I called in and was told that my claim was declined but they cant tell me why? The guy says to me he will have to find out because I sent POP so he does not know why but he will try and call me back by the end of today. Why am I paying for GAP cover? Why is Sanlam declining their clients yet they are quick to debit your policy funds every month? I took GAP cover because I want to get my money back if there is any money I need to spent on co payments? I want someone in a management position at Sanlam GAP cover to call me TODAY and I want better assistance as Everytime I have to call into their call centre and the customer service is honestly very ****Y. I am so disappointed and if the claim has been declined im cancelling my GAP cover. I want a call back TODAY and I want this resolved TODAY. This has been going on since the 6th August. Fedhealth has been amazing but the GAP company they are using which is you guys they honestly need to reconsider.
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.
Regards
Client 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.
Regards
Client Relations
Please note that complaining on hello Peter was the only option seeing as the client services was extremely bad and pathetic and not helpful in anyway
Please note that complaining on hello Peter was the only option seeing as the client services was extremely bad and pathetic and not helpful in anyway
We appreciate that you bring it to our attention.
Regards
Client Relations
We appreciate that you bring it to our attention.
Regards
Client Relations
We value you as a client.
Regards
Client Relations
We value you as a client.
Regards
Client Relations
I do not appreciate it that the complaint will be closed when it's not resolved. The consultant called me but she needs to go through my documentation to see what is the status of my claim and call me back to me that Is not resolved!!
I do not appreciate it that the complaint will be closed when it's not resolved. The consultant called me but she needs to go through my documentation to see what is the status of my claim and call me back to me that Is not resolved!!
The complaint is now active at the relevant department who contacted you. We only close the Hello Peter platform of communication as the relevant department will directly contact you.
Regards
Client Relations
The complaint is now active at the relevant department who contacted you. We only close the Hello Peter platform of communication as the relevant department will directly contact you.
Regards
Client Relations
