VS
Vanessa S

1 reviews | Active since Mar 2020

01 Sept 2021, 09:43

*********** to the next level!!

I give them a zero star rating I have been on the phone with them for days. They have taken away time where I should of been trying to get business in but everytime I phone each consultant comes with a different story. The one, her name was Jenny told me they do not cover hospital shortfalls only doctor shortfalls. I almost fell off my chair. I was on Stratum and my husband on Zest and when we got married Sirago was suggested by a medical broker. Worst decisions ever!! Our medical aid paid but the laparoscopy tools limit was exceeded so their was an authorization number and there was a partial payment from our medical aid so there was a shortfall. And Sirago says no we don't cover this. Why have gap cover???? Never dealt with such *********** people or company in my life. And their automated replies to your emails are so frustrating.

0
Replies (2)
Sirago Underwriting Managers
Sirago Underwriting Managers's reply02 Sept 2021, 10:58
Official
Hi Vanessa,

We are terribly sorry to hear of your frustration and the bad experience you have had. Please accept our sincere apologies. We are looking into this matter and will be in contact with you shortly. Please feel free to send a private email to ceo @ sirago .co .za in order for us to investigate the matter. (email address must be without spaces)
 
Sincerely,
Rago
Sirago Underwriting Managers
Sirago Underwriting Managers's reply02 Sept 2021, 14:44
Official
Dear Vanessa, 

We have looked into this matter and it appears that your claim was correctly repudiated for scheme rejection. We are however aware that you have indicated that the scheme has now reviewed your submission on which our repudiation was based. In order for us to review the shortfall, we need the revised medical aid statement and claim form, as telephonically discussed. As soon as we have the revised documents, we can re-review your claim. 

Should you have any further queries, please do not hesitate to contact us. 

Warm regards,
Carien