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
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