AC
Amanda C

1 reviews | Active since Sept 2020

15 Sept 2020, 16:31

Seriously - A Motivation letter in the midst of a Covid pandemic.

We have a Health benefit policy with Unlimited which promises R2 000 a day for every day you are in hospital. My husband was in hospital from 18 August - 28 August due to Covid related complications. I got the claim forms and they requested a horde of of documents and your doctor to complete a long form dating back to the last 5 years. Our doctor completed all the forms and noted ont he form that my husband was being admitted because of Covid related complications. Yet, they still insist on a MOTIVATION LETTER!! Irrespective of whether we are currently in a world wide pandemic due to COVID and, every day we are bombarded with all the statistics regarding Covid and the complications they still insist on a MOTIVATION LETTER and will not proceed with the claim unless my doctor provides one. Nobody can tell me why - it is rules.... Do they truly think at this time, anybody will just go to hospital for fun...Hospitals do not even accept admissions unless truly necessary because of the dangers of exposures. So, despite the trauma we have been through, and the promises they make about paying without issue if you are in hospital for more than 1 day, they forget about TCF. They make it as difficult as possible to claim. Makes you rethink the purpose of the policy and whether it is really worth it all.

0
Replies (2)
The Unlimited
The Unlimited's reply16 Sept 2020, 14:01
Official
Hi Amanda, 
 
We’re truly sorry for the way we've dealt with your claim during your husband’s hospitalisation, which makes us seem unsympathetic. It is not at all our intent to make your claims process difficult, especially during such a hard time for you and your family. We wish your husband a speedy recovery.  We will immediately look into the issue with your claims documents and have a member of our claims department give you a call today to resolve this.
The Unlimited
The Unlimited's reply16 Sept 2020, 20:00
Official
Hi Amanda,

Thank you for taking our call today and giving us the opportunity to assist you with your claim. As discussed on the phone, we will contact the doctor on your behalf so that we can obtain the required information to help us finalize your claim. We will provide you with feedback in 24-48 working hours.