DE
Dominique E

1 reviews | Active since Oct 2016

10 Sept 2018, 15:32

No Payout and need to follow up for response.

All this years, no claims, first claim rejected, I'm rejecting continuing with cap cover. Ill see how the cancellation of service goes. This is not worth it for me. Only my personal opinion.

0
Replies (2)
Talksure Sa
Talksure Sa's reply11 Sept 2018, 07:59
Official

Good morning Dominique, Thank you for reaching out to us. We are currently investigating your query and our client services team will be in contact with you shortly in this regard. Regards, TalksureSA.

Talksure Sa
Talksure Sa's reply12 Sept 2018, 09:40
Official

Dear Dominique, Kindly note we have attempted on multiple occasions to contact you by phone however to no avail. We note that your gap cover claim in question had been rejected due to your Medical Aid rejecting the account outright. We draw your attention to the below clause as set out in the policy wording provided to you:

General Exceptions


“The Company shall not be liable for hospitalisation, bodily injury, sickness or disease directly or indirectly caused by related to or in consequence of:


14. Any procedure not covered or declined by the medical aid scheme.”

We also confirm that we have sent you an email providing you with a comprehensive explanation on the rejection and confirmation of your cover being cancelled as requested by yourself.

We trust that you find the response to be sufficient and regret that we could not provide you with a more favourable response. Regards, TalksureSA.