1 reviews | Active since Mar 2017

22 Mar 2017, 20:47

Medical Claim Rejected

<p>On Tuesday the 21st of March 2017 which is a Public Holiday my 5 year old son fell and broke his arm in the Spur Playground obviously with it being a public holiday The Unlimited's call center for claims was not operational. We managed to arrange an ambulance that took over half an hour to get to us with a child that was in severe pain. </p> <p>My son was admitted into hospital and had to stay the night. However when my husband contacted the call center today they refused to assist with his claim. Our medical bill on its own was over R15000. We have been contributing religiously for about 5 years.</p> <p>I'm not sure if I can request for assistance from Spur.</p> <p>Our claims reference received via SMS is CIMS ********** .</p> <p> </p>

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Replies (4)
The Unlimited
The Unlimited's reply22 Mar 2017, 21:36
Official


Our business is built on a simple but very important promise, ‘You’re Everything’. And when that promise is not fulfilled, we will stop at nothing to get it right, immediately! You can be sure that we will follow up on your complaint and get back to you in 24 hours
Take care, The Unlimited

The Unlimited
The Unlimited's reply23 Mar 2017, 09:26
Official

It was a pleasure chatting to you and we appreciate the feedback. We have sent through the claim forms via email as requested. Kindly post the required documents for further assessment. If there’s anything else we can help you with, please call us on ***. Take care, The Unlimited

's update19 May 2017, 20:32
Reviewer Update

We completed all the documentation and submitted to your claims department in Pinetown.

However our claim was rejected.

We therefore would like to cancel our policy. What's the use of paying for something each month for you to not get any gain from it when you really to.

The Unlimited
The Unlimited's reply22 May 2017, 13:46
Official

Hi Mandi,

Once, twice, three times… try as we may, we just could not get hold of you. We’d appreciate a chat with you, so that it can help us improve. We’re sorry to see you go. Your policy has been cancelled. If there’s anything else we can help you with, please call us on ***.

Take care,

The Unlimited