RW
Riaan W
1 reviews | Active since Apr 2014
26 Jan 2023, 09:44
Absolutely Horible company to deal with
An absolute HORRIBLE company to deal with. They are trying there utmost to avoid paying - with multiple requests for documents again and again and again just to try and see if they can get out of paying what they should. Incompetance does not describe them. With a Co-payment of R 7,500 for an operation, the doctor gave us a discount of around R 3,000 (which benefits them), and we paid the R 4,500. They only want to pay the R 3,000 and not the R4,500, even proving with a doctors receipt that we paid the R 4,500. How stupid. Definately cancelling and definately not recommending them.
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Riaan W's updateReviewer Update
27 Jan 2023, 11:13We were contacted by Sirago, and the issue was resolved. Although we are giving them another chance, we hope that they work on the staff to ensure that these frustrations does not happen. We did ask the matter to be escilated twice before taking to HeloPeter, and luckily now it is resolved.
RW
Riaan W's update27 Jan 2023, 11:13
Reviewer Update
We were contacted by Sirago, and the issue was resolved. Although we are giving them another chance, we hope that they work on the staff to ensure that these frustrations does not happen. We did ask the matter to be escilated twice before taking to HeloPeter, and luckily now it is resolved.
Sirago Underwriting Managers's replyOfficial
27 Jan 2023, 14:04Dear Riaan,
Thank you for taking my call earlier this morning relating to the matter above. Thank you also for bringing this issue to our attention and for giving us the opportunity to resolve it. We trust that you understand the claims process and that Gap Cover only pays for the shortfall on what the doctor charges, and that the payment coincides in totality with the Policy Wording terms and conditions in your possession. We apologize for any frustration caused as a result of the client service interaction and assure you that we are taking steps to improve our staff and processes to prevent similar issues in the future. We are glad that the matter has been resolved to your satisfaction and we value your feedback.
Best Regards,
Althea and The Sirago Team
Sirago Underwriting Managers's reply27 Jan 2023, 14:04
Official
Dear Riaan,
Thank you for taking my call earlier this morning relating to the matter above. Thank you also for bringing this issue to our attention and for giving us the opportunity to resolve it. We trust that you understand the claims process and that Gap Cover only pays for the shortfall on what the doctor charges, and that the payment coincides in totality with the Policy Wording terms and conditions in your possession. We apologize for any frustration caused as a result of the client service interaction and assure you that we are taking steps to improve our staff and processes to prevent similar issues in the future. We are glad that the matter has been resolved to your satisfaction and we value your feedback.
Best Regards,
Althea and The Sirago Team