NM
Nicolaas M

1 reviews | Active since Jan 2013

18 Aug 2020, 14:46

Very Bad Gap Cover Provider.

Hi

Stratum Gap Cover is really bad, every claim I send through were rejected. Some excuse that the policy does not cover it, or medical aid did not pay a portion. But all of these claims my wife were in Hospital.

Short summary, Since 24 March 2020 my wife were in Hospital, in July 2020 six operations later, we are left with a huge bills to pay as the Medical aid did not pay certain amounts, and now the Stratum Gap cover also reject the claims. Then I ask you, why do you have gap cover. To loose your car? As that is what I have to do now to pay the medical bills.

My advise would simply be, looking for gap cover? Stay far away from Stratum Benefits

At the end of the mail it says

"Stratum Benefits. Real benefits. Real cover" Yeah right, could have fooled me.

Kind regards Jaco Mouton ***

0
Replies (3)
Stratum Benefits (Pty) Ltd
Stratum Benefits (Pty) Ltd's reply19 Aug 2020, 08:24
Official
Good Day Jaco, 

Thank you for getting in touch with us. 

Unfortunately, Gap cannot perform the function of a medical aid scheme, thus where medical aid has not part paid a line item, Gap cannot assist.

A consultant will contact you today to discuss the rejection reasons in order to provide clarity. We trust that the call will shed light on how Gap actually works and equip you for your next medical event. 

Regards,
Stratum
NM
Nicolaas M's update19 Aug 2020, 08:59
Reviewer Update
Good morning

As I understood this from my broker, GAP cover is there for any shortfall in a hospital stay?

Should take this up with my broker and asked him why he did not informed me of the small print. Just makes me extremely mad, feels like you are very fast to take my premium each month, and when I need assistance, all the small print/excuses/**** comes out for for any reason not to pay.

Jaco Mouton


Stratum Benefits (Pty) Ltd
Stratum Benefits (Pty) Ltd's reply20 Aug 2020, 13:23
Official
Good Day Jaco, 

Your broker was accordingly contacted and we have been advised that your broker has also reached out to you. 

We trust that all issues will be ironed out soon. 

Have a lovely day further.

Regards,
Stratum