sS
shaminmaharaj S

1 reviews | Active since Jul 2017

30 Apr 2022, 10:35

Straum..you are totally disappointing/unhelpful/negative attitude

Stratum benefits has proved to be totally unhelpful and my previous rating with them unfortunately has fallen below zero. I made a co-payment at a hospital, all proof sent to them, they still require a further detailed statement.. this is absolutely ridiculous, everything has been penned out to them, and its close to 6 months struggle to receive my co payment. Further more, my husband's cancer claim has been rejected due to them not assisting on time. My broker submitted all necessary documents during the relevant period, and I received a rejected response. Their services have proved to be extremely disgusting and of no value to me. I would strongly recommend another gap cover company, myself included...have to shop elsewhere with this nonsense attitude. I hereby take back my good review on them. I am utterly disappointed, and with all mine and my husband's health issues, this is the last problem I anticipated from them. I give them a minus rating actually.

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Replies (1)
Stratum Benefits (Pty) Ltd
Stratum Benefits (Pty) Ltd's reply02 May 2022, 03:45
Official
Dear Mrs. Maharaj,

We are sorry for the negative experience , this is definitely not the level of service we provide to our clients.

We have escalated your complaint to our Claims Manager for assistance.

Regarding your Co-payment claims, one of our claims assessor contacted you to state the reason for the required document and an email was sent to also state below:

The Medical aid statement received does not reflect the Hospital co-payment you are claiming for. Please request from Medihelp a Detailed Claims Transaction history statement (Monthly statement). It needs to reflect the hospital and all charged coded line items (all procedure codes and amounts, rejection reasons and rejection codes) and what has been paid towards each coded line  Once we receive the correct document, we will be able to assess your claim.

We will contact you during the course of the week to ensure that your concerns have been addressed.

Best regards
The Stratum Benefits Team