LA
Loraine A
1 reviews | Active since Feb 2026
19 Feb 2026, 11:28
Rejected claim due to psychological exclusions
I have been paying gap cover premiums to Stratum Benefits for over a year, believing I was protecting myself and my family against hospital shortfalls.
When my daughter was hospitalized and needed the cover, my claim was declined because the admission was related to a mood disorder. Apparently, emotional and psychological conditions are excluded.
This was never clearly emphasized when I took out the policy. It feels like the provider decides which hospitalizations are “valid” enough to cover.
Mental health hospitalizations are serious and real. To refuse payment during such a vulnerable time is extremely disappointing.
I would strongly advise others to carefully check the exclusions before signing up.
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Replies (1)Stratum Benefits (Pty) Ltd's replyOfficial
19 Feb 2026, 12:26Good day Loraine,
Thank you for raising your concerns.
The matter has been escalated to one of our Managers.
We will be in contact soon.
Have a good day.
Kind regards,
The Stratum Benefits Team
Thank you for raising your concerns.
The matter has been escalated to one of our Managers.
We will be in contact soon.
Have a good day.
Kind regards,
The Stratum Benefits Team
Stratum Benefits (Pty) Ltd's reply19 Feb 2026, 12:26
Official
Good day Loraine,
Thank you for raising your concerns.
The matter has been escalated to one of our Managers.
We will be in contact soon.
Have a good day.
Kind regards,
The Stratum Benefits Team
Thank you for raising your concerns.
The matter has been escalated to one of our Managers.
We will be in contact soon.
Have a good day.
Kind regards,
The Stratum Benefits Team
