Hellopeter
Share Your Experience
PC
Perri C

1 reviews | Active since Apr 2022

28 Apr 2022, 12:58

Be warned! Sirago does not pay for robotic surgery

Hi Everyone, There should be minus stars on Hellopeter. I'm loathe to give Sirago Gap Cover even 1 star. We've paid our gap cover premiums for around 8 years without really claiming. In January 2022 my husband needed a robotic prostatectomy for prostate cancer. Discovery have been fabulous but guess what, after months of slow, often contradictory, time consuming & stressful communication, Sirago has trotted out a clause (something like point 21.23) introduced since I took out our policy saying they don't cover robotic surgery. Eventually they forked out a paltry R 500 for my R 23 423 claim. Advances in medicine should be celebrated not used as an excuse not to pay out claims. Especially when robotics save time in hospital, trauma to patients, faster healing times and less chance of infection. All of which should save the underwriters money.

0
Replies (2)
Sirago Underwriting Managers
Sirago Underwriting Managers's reply31 May 2022, 09:08
Official
Dear Perri,
 
We are sorry to hear that you are unhappy with the outcome of this claim. We are looking into this matter to see if there is anything that we can do to relieve this frustration. Please may I ask that you send a private email to Martin our CEO using the email address ceo @ sirago .co .za in order for us to investigate the matter? (email address must be without spaces)
 
Sincerely,
Team Sirago 
Sirago Underwriting Managers
Sirago Underwriting Managers's reply01 Jun 2022, 09:35
Official
Dear Perri, we have attempted to make contact with you in the past few weeks, and you haven't responded as yet. We are sorry that you feel aggrieved, but it is important to note that Sirago does cover robotic surgery on some of the options. The option you are a current holder of does not however cater for that particular benefit category. We encourage you to engage with your broker and upgrade to an option that does cater for this benefit category or make contact with our client experience department who can provide you with information. I think it is a bit disingenuous to rant on a public forum without having all the facts. I am happy to discuss directly with you where and how we structure our benefit options if that helps to shed some light on how gap cover works. Please feel to reach out to me on ***, and I will set up a mutually agreed upon time to discuss. Sincerely Martin