1 reviews | Active since Jun 2022
Poor service from Stratum Gap Cover
Please Stratum how could you reject a claim with the following reason you only cover for a illness if it occurs after hours Mon-Friday 18:00-07:00, anytime Saturday and Sunday. What utter nonsense! I suddenly got sick at my work, was tranport to ER with amublance and got admitted! 1st time was 10:30 in the morning and 2nd time was 20:20 in the evening when I arrived at the ER and got admitted. How the hell do you put a timeframe on when a persin gets sick! I am on your highest plan 500 % Elite, did not claim once this year and now when I am in need for your assistance to cover me you come with this nonsense excuse not to pay. Seems like you just a money making scheme. Utter disgusted in your service and will definitely be looking at other gap covers if this is the treatment one receives from Stratum. Not a very happy client at the moment
We are sorry to hear that you are dissatisfied with the handling of your claim.
Kindly note that we have two components to our Casualty Benefit.
Accidental and a Illness Event Benefit, each with its own benefits and qualifying criteria.
Under our Illness Benefit, we cover insured persons aged 11 years or older for after-hour illness events at any registered casualty facility between 18:00 and 07:00 on Mondays to Fridays and all day on Saturdays, Sundays and public holidays limited to R 1500 per policy per year on our Elite500 option.
A hospital admission following a casualty event becomes a new medical event, and claims will be assessed based on the hospital admission. If you have any shortfalls for the admission where the medical aid didn't fully settle the claim, you may submit those claims for assessment.
The complaint was escalated to our Claims Management team and feedback will be provided within 2-3 working days.
We are steadfast in our commitment to continuous improvement and the delivery of outstanding customer service to all our valued clients.
Best regards,The Stratum Benefits Team
We are sorry to hear that you are dissatisfied with the handling of your claim.
Kindly note that we have two components to our Casualty Benefit.
Accidental and a Illness Event Benefit, each with its own benefits and qualifying criteria.
Under our Illness Benefit, we cover insured persons aged 11 years or older for after-hour illness events at any registered casualty facility between 18:00 and 07:00 on Mondays to Fridays and all day on Saturdays, Sundays and public holidays limited to R 1500 per policy per year on our Elite500 option.
A hospital admission following a casualty event becomes a new medical event, and claims will be assessed based on the hospital admission. If you have any shortfalls for the admission where the medical aid didn't fully settle the claim, you may submit those claims for assessment.
The complaint was escalated to our Claims Management team and feedback will be provided within 2-3 working days.
We are steadfast in our commitment to continuous improvement and the delivery of outstanding customer service to all our valued clients.
Best regards,The Stratum Benefits Team
The complaint was escalated to our Claims Management team and feedback will be provided within 2-3 working days.
Best regards,
The Stratum Benefits Team
The complaint was escalated to our Claims Management team and feedback will be provided within 2-3 working days.
Best regards,
The Stratum Benefits Team