Clientele Life
Refusal to honour legitimate claims

Good day, I too have Hospital Cash Back Plans in the event of loss of earnings due to illness and hospitalisations. Since January I have been hospitalised 5 times for the same condition. Clientele refuse to honour a claim submitted because the medical practitioner transferred me to another hospital using an incorrect code. All documentation has been provided, including MRI scans, reports from surgeons and physicians. I in fact pointed out the irregularities to them and have had a 2nd claim rejected outright, with Clientele falling back on "incorrect" (I would prefer to use the word "") information on the coding system by the practitioner. The 1st claim falls within the same "1 claim" period, 10 days, &was dealt with efficiently by Miss Z Sithole, although less than they advertise, a small amount was repaid to me. I asked for a discharge from the institution, discharge advice confirms the medical and correct diagnosis which was treated at the previous hospital. However, after waiting for 10 months for my policy documents, I find now that there are more exclusions than inclusions, and that Clientele are looking at their "small print" to reject this claim due to m/aid

Company: Clientele Life
Country: South Africa
City: Hospital plan

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