eB
ethel B
1 reviews | Active since Sept 2013
25 Nov 2020, 15:49
Sirago makes empty promises
We are so disappointed. REF no: CL6205 My son went for a operation on the 19th of August. After the Medical aids short fall account, for the hospital came, we paid it immediately. This was in the beginning of October. I've sent all the documents do gap that was needed, to make the procedure as quick as possible. I haven't heard from Sirago for over a month. In the beginning of November I called them weekly, after they promised me the week before to come back to me in 2 days. No one ever came back. Today, the 25th of November I called again. I was promised that the manger, Olga will call me back in an hour. Its 3 hours later and I'm still waiting.
Where do we turn to, when you just want your money paid out as promised by the gap policy? Will you please assist us in regard to this dilemma. Kind Regards MRS Beukes ***
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Replies (4)0
Replies (4)
Sirago Underwriting Managers's replyOfficial
26 Nov 2020, 09:59Dear Ethel
Thank you so much for the feedback. We apologise for the frustration and bad experience you have had. We will investigate and revert back shortly.
Kind regards
Team Sirago
Thank you so much for the feedback. We apologise for the frustration and bad experience you have had. We will investigate and revert back shortly.
Kind regards
Team Sirago
Sirago Underwriting Managers's reply26 Nov 2020, 09:59
Official
Dear Ethel
Thank you so much for the feedback. We apologise for the frustration and bad experience you have had. We will investigate and revert back shortly.
Kind regards
Team Sirago
Thank you so much for the feedback. We apologise for the frustration and bad experience you have had. We will investigate and revert back shortly.
Kind regards
Team Sirago
eB
ethel B's updateReviewer Update
28 Nov 2020, 14:00CL6205 Sirago has excuses stacked to the roof. The rule on the Co payment is if we have to use a hospital out of the Medical aid network The gap policy has to pay with it. The procedure was done the day after the Dr said his appendix has to be removed. So it was not an emergency. Sirago are liable for this claim. In 2 months Sirago didn't bother to contact me on regards to this, now they want to use this lame excuses. I've referred a lot of people to Sirago over the years, but believe me, it won't be the case again. Every time I called they promised to call back. I never received one call from them. Sirago are plainly lying to their customers
eB
ethel B's update28 Nov 2020, 14:00
Reviewer Update
CL6205 Sirago has excuses stacked to the roof. The rule on the Co payment is if we have to use a hospital out of the Medical aid network The gap policy has to pay with it. The procedure was done the day after the Dr said his appendix has to be removed. So it was not an emergency. Sirago are liable for this claim. In 2 months Sirago didn't bother to contact me on regards to this, now they want to use this lame excuses. I've referred a lot of people to Sirago over the years, but believe me, it won't be the case again. Every time I called they promised to call back. I never received one call from them. Sirago are plainly lying to their customers
eB
Co-payments
Are the excesses imposed by your medical scheme payable to a maximum rand limit for specified procedures or tests. Cover for co-payments imposed by medical schemes for hospital admissions, scans and surgical procedures. Co-payments related to cancer are catered for in a separate benefit category.
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Ultimate Gap CoverOur most comprehensive option with an extensive range of benefits.Monthly PremiumsDownload BrochureORGet a Quote
Key BenefitsIn-Hospital BenefitsGap Cover
Co-payments
Co-payments Charged as a Percentage
Penalty Fee Cover
Day Hospital/Clinic and/or In Room Surgical Procedures Cover
PMB Cover
Hospital Account Shortfalls
Sub-limit Enhancer
Step-downLearn MoreCancer BenefitsCancer Co-payment Benefit
Cancer Benefit - Boost
Cancer Benefit - Breast Reconstruction
Cancer Benefit - PMBLearn MoreOut-of-hospital BenefitsPrimary Care Consultation Benefits
Emergency Room Cover
Day-to-day Specialist Consultation Fee
Preventative Care Cover
Appliance Benefit
Trauma CounsellingLearn MoreValue Added BenefitsGap Cover Premium Waiver
Medical Scheme Premium Waiver
Accidental Death
Cancer Cover (Initial Diagnosis)
Sira-Go’ BabyLearn MoreIn-hospital Benefits
Gap Cover Co-payments Co-payments Charged as a Percentage Penalty Fee Cover
Penalty Fee CoverSubject to a sub-limit of R10 500 per claim and a maximum of 3 claims per policy per annum for the voluntary use of a non-designated service provider (network hospital). This includes the use of a partial cover network hospital a s determined by your medical scheme.
ethel B's updateReviewer Update
28 Nov 2020, 14:04Co-payments
Are the excesses imposed by your medical scheme payable to a maximum rand limit for specified procedures or tests. Cover for co-payments imposed by medical schemes for hospital admissions, scans and surgical procedures. Co-payments related to cancer are catered for in a separate benefit category.
Menu
Ultimate Gap CoverOur most comprehensive option with an extensive range of benefits.Monthly PremiumsDownload BrochureORGet a Quote
Key BenefitsIn-Hospital BenefitsGap Cover
Co-payments
Co-payments Charged as a Percentage
Penalty Fee Cover
Day Hospital/Clinic and/or In Room Surgical Procedures Cover
PMB Cover
Hospital Account Shortfalls
Sub-limit Enhancer
Step-downLearn MoreCancer BenefitsCancer Co-payment Benefit
Cancer Benefit - Boost
Cancer Benefit - Breast Reconstruction
Cancer Benefit - PMBLearn MoreOut-of-hospital BenefitsPrimary Care Consultation Benefits
Emergency Room Cover
Day-to-day Specialist Consultation Fee
Preventative Care Cover
Appliance Benefit
Trauma CounsellingLearn MoreValue Added BenefitsGap Cover Premium Waiver
Medical Scheme Premium Waiver
Accidental Death
Cancer Cover (Initial Diagnosis)
Sira-Go’ BabyLearn MoreIn-hospital Benefits
Gap Cover Co-payments Co-payments Charged as a Percentage Penalty Fee Cover
Penalty Fee CoverSubject to a sub-limit of R10 500 per claim and a maximum of 3 claims per policy per annum for the voluntary use of a non-designated service provider (network hospital). This includes the use of a partial cover network hospital a s determined by your medical scheme.
eB
ethel B's update28 Nov 2020, 14:04
Reviewer Update
Co-payments
Are the excesses imposed by your medical scheme payable to a maximum rand limit for specified procedures or tests. Cover for co-payments imposed by medical schemes for hospital admissions, scans and surgical procedures. Co-payments related to cancer are catered for in a separate benefit category.
Menu
Ultimate Gap CoverOur most comprehensive option with an extensive range of benefits.Monthly PremiumsDownload BrochureORGet a Quote
Key BenefitsIn-Hospital BenefitsGap Cover
Co-payments
Co-payments Charged as a Percentage
Penalty Fee Cover
Day Hospital/Clinic and/or In Room Surgical Procedures Cover
PMB Cover
Hospital Account Shortfalls
Sub-limit Enhancer
Step-downLearn MoreCancer BenefitsCancer Co-payment Benefit
Cancer Benefit - Boost
Cancer Benefit - Breast Reconstruction
Cancer Benefit - PMBLearn MoreOut-of-hospital BenefitsPrimary Care Consultation Benefits
Emergency Room Cover
Day-to-day Specialist Consultation Fee
Preventative Care Cover
Appliance Benefit
Trauma CounsellingLearn MoreValue Added BenefitsGap Cover Premium Waiver
Medical Scheme Premium Waiver
Accidental Death
Cancer Cover (Initial Diagnosis)
Sira-Go’ BabyLearn MoreIn-hospital Benefits
Gap Cover Co-payments Co-payments Charged as a Percentage Penalty Fee Cover
Penalty Fee CoverSubject to a sub-limit of R10 500 per claim and a maximum of 3 claims per policy per annum for the voluntary use of a non-designated service provider (network hospital). This includes the use of a partial cover network hospital a s determined by your medical scheme.
Sirago Underwriting Managers's replyOfficial
30 Nov 2020, 08:32 Dear Mrs Beukes,
As per our email response to you, we require written confirmation from your medical scheme that the claim was paid at the scheme rate due to the procedure being planned and not an emergency in order to assess the claim in line with the policy terms, conditions, and benefits.
As per our email response to you, we require written confirmation from your medical scheme that the claim was paid at the scheme rate due to the procedure being planned and not an emergency in order to assess the claim in line with the policy terms, conditions, and benefits.
Sirago Underwriting Managers's reply30 Nov 2020, 08:32
Official
Dear Mrs Beukes,
As per our email response to you, we require written confirmation from your medical scheme that the claim was paid at the scheme rate due to the procedure being planned and not an emergency in order to assess the claim in line with the policy terms, conditions, and benefits.
As per our email response to you, we require written confirmation from your medical scheme that the claim was paid at the scheme rate due to the procedure being planned and not an emergency in order to assess the claim in line with the policy terms, conditions, and benefits.