Dental Risk Insurance
Ranking
#7
in Wellness & Beauty
NPS Score
0
Recommended: Unlikely
Used this business recently? Share your experience to help others decide.
Used this business recently? Share your experience to help others decide.
Share Your Experience1 reviews | Active since Jan 2020
I have also just found out that I have to use their approved dental providers and this was never communicated!!! I am waiting for a reply but I want my money back - reporting them to the ombudsman as well.
1 reviews | Active since Jan 2020
I have also just found out that I have to use their approved dental providers and this was never communicated!!! I am waiting for a reply but I want my money back - reporting them to the ombudsman as well.
1 reviews | Active since Jan 2020
I have just found out after requesting an authorisation that Dental Risk have changed their policy and you are now forced to use their network dentists. This is not what I signed up for. Why were customers not informed timeouly so they could cancel their policies within 30 days. This service STINKS!!!!!!! Be warned.
1 reviews | Active since Jan 2020
I have just found out after requesting an authorisation that Dental Risk have changed their policy and you are now forced to use their network dentists. This is not what I signed up for. Why were customers not informed timeouly so they could cancel their policies within 30 days. This service STINKS!!!!!!! Be warned.
1 reviews | Active since Jan 2020
I did read the bad reviews. In my case it was quite a pleasant surprise. I had serious damage to my teeth - R18,000. I have spoke to DRUM and they would pay some monies. After submitting the claims, the response was negative for any payment. Then we decided to talk to the claims manager Franco. He speedily resolved the issue and we got reimbursed with R12,000. Thank you to Franco and DRUM - much appreciated. Suggestion: Next time you have a bad experience with DRUM - talk to Franco. Cornelius Basson
1 reviews | Active since Jan 2020
I did read the bad reviews. In my case it was quite a pleasant surprise. I had serious damage to my teeth - R18,000. I have spoke to DRUM and they would pay some monies. After submitting the claims, the response was negative for any payment. Then we decided to talk to the claims manager Franco. He speedily resolved the issue and we got reimbursed with R12,000. Thank you to Franco and DRUM - much appreciated. Suggestion: Next time you have a bad experience with DRUM - talk to Franco. Cornelius Basson
1 reviews | Active since Jan 2020
MOST PATHETIC SERVICE EVER. THESE GUYS ARE THEIVES AND LIARS THROUGH AND THROUGH, THIS IS NOT THE FIRST TIME IM STRUGGLING TO GET MY CLAIM MONEY FROM THEM, ITS ALREADY 41 DAYS, THEY SAY THEY PAY AFTER 30 DAYS, WHEN I EMAIL TO ENQUIRE THEY JUST CHOOSE TO IGNORE ME. I NEVER IGNORE THEM OR HESITATE TO PAY MY PREMIUMS OR MY DENTISTS, THEY DONT CARE ABOUT CLIENTS, AND ARE ONLY INTERESTED IN MAKING MONEY!!! I DONT HAVE A CHOICE, I HAVE TO DEAL WITH THEM, BUT IF I DID, I WOULD NOT DEAL WITH THEM, I WILL NOT RECCMOMEND THEM TO ANYONE!!!! I JUST WANT MY MONEY THAT THEY OWE ME, AS PER MY BENEFITS!!!!OUR MONEY DONT GROW ON TREES, AND THE LEAST YOU CAN DO IS REPLY TO OUR EMAILS!!!! WORSE CUSTOMER SERVICE IN SOUTH AFRICA!!!!
1 reviews | Active since Jan 2020
MOST PATHETIC SERVICE EVER. THESE GUYS ARE THEIVES AND LIARS THROUGH AND THROUGH, THIS IS NOT THE FIRST TIME IM STRUGGLING TO GET MY CLAIM MONEY FROM THEM, ITS ALREADY 41 DAYS, THEY SAY THEY PAY AFTER 30 DAYS, WHEN I EMAIL TO ENQUIRE THEY JUST CHOOSE TO IGNORE ME. I NEVER IGNORE THEM OR HESITATE TO PAY MY PREMIUMS OR MY DENTISTS, THEY DONT CARE ABOUT CLIENTS, AND ARE ONLY INTERESTED IN MAKING MONEY!!! I DONT HAVE A CHOICE, I HAVE TO DEAL WITH THEM, BUT IF I DID, I WOULD NOT DEAL WITH THEM, I WILL NOT RECCMOMEND THEM TO ANYONE!!!! I JUST WANT MY MONEY THAT THEY OWE ME, AS PER MY BENEFITS!!!!OUR MONEY DONT GROW ON TREES, AND THE LEAST YOU CAN DO IS REPLY TO OUR EMAILS!!!! WORSE CUSTOMER SERVICE IN SOUTH AFRICA!!!!
1 reviews | Active since Jan 2020
Good day Ilona I am writing this email in total disgust with the services of Drum. Originally Drum said that their turnaround time for claims payouts are 30 days, The previous claim that I submitted, drum apparently received 3 days afterwards, And they gave me a specific payout date AND PAID ON THAT DATE, which annoyed me, firstly, because it was already 33 days after the claim was submitted. The claim below was followed up on the 27th of July, and we were just told that it would be paid out with this week’s batch. Well this week is over, and I still have not received my money. I am sick and tired of Drum, you have absolutely no customer service whatsoever, and you have no problem about taking my money (as a portion of my premium with Asterio goes to Drum), yet, if I have a claim you always give me the runaround. This is typical behavior of a dishonest company, and it gives me the idea that you only wish to s teal my money. I am tired of waiting for my money, I expect this money to be in my account (not only paid from you, then I must wait another 3 days, AVAILABLE IN MY ACCOUNT by 12pm today 3/8/2018. Because it’s now more than 30 DAYS AFTER THE CLAIM WAS SUBMITTED!!!- CLOSER TO 40 DAYS I am not a happy client, I must just as well not have any dental benefits, because Drum is useless!! I am also going to post my disgust on hello peter and Facebook for the whole world to see. I have been patient with Drum for long enough now, and you surely go out of your way to see how unhappy you can make the clients. I expect my money available I my account by 12pm or I will take it further. (this is theft and fraud) Regards Lika White AGS000636
1 reviews | Active since Jan 2020
Good day Ilona I am writing this email in total disgust with the services of Drum. Originally Drum said that their turnaround time for claims payouts are 30 days, The previous claim that I submitted, drum apparently received 3 days afterwards, And they gave me a specific payout date AND PAID ON THAT DATE, which annoyed me, firstly, because it was already 33 days after the claim was submitted. The claim below was followed up on the 27th of July, and we were just told that it would be paid out with this week’s batch. Well this week is over, and I still have not received my money. I am sick and tired of Drum, you have absolutely no customer service whatsoever, and you have no problem about taking my money (as a portion of my premium with Asterio goes to Drum), yet, if I have a claim you always give me the runaround. This is typical behavior of a dishonest company, and it gives me the idea that you only wish to s teal my money. I am tired of waiting for my money, I expect this money to be in my account (not only paid from you, then I must wait another 3 days, AVAILABLE IN MY ACCOUNT by 12pm today 3/8/2018. Because it’s now more than 30 DAYS AFTER THE CLAIM WAS SUBMITTED!!!- CLOSER TO 40 DAYS I am not a happy client, I must just as well not have any dental benefits, because Drum is useless!! I am also going to post my disgust on hello peter and Facebook for the whole world to see. I have been patient with Drum for long enough now, and you surely go out of your way to see how unhappy you can make the clients. I expect my money available I my account by 12pm or I will take it further. (this is theft and fraud) Regards Lika White AGS000636
1 reviews | Active since Jan 2020
I am now completely at my wits end with this company. I have never in my life experienced such bad service! They drop their cover when ever they feel like it. When clients claim they decide to stop covering that specific service. The most recent being orthodontics which will not be covered at all from end October 2017. They are also dropping the amount that they cover for crowns and implants and their over all cover is also being changed. TRY to claim... They apparently take 30 days to process a claim and my recent claim was submitted beginning September and after inquiring on numerous occasions I still dont have clarity as to when I am getting paid. Their most recent email requested that all claims, inquiries etc be sent to ********** however you get cryptic responses and when you require more information you get sent a list of phone numbers to phone. Try and phone those numbers.... you are sure to waste your time. I am way beyond my ability to SMILE at their pathetic service. TRY and get authorization for a procedure and you get ****y responses like "Good day, Please note: No Benefit for in Hospital - Implant procedure (Not covered in to Benefit plan)" Yet when I phoned they all of a sudden covered the implant components just not the hospital procedure. Upon inquiring as to why the didn't ask me if I will be covering the hospital costs, I was told its not their job. They only check the quote. What happened to Customer Services. You can answer me with an email that you don't cover, but you cant sent me an email for clarification????????? If I didnt have a procedure to be done I would have cancelled this a long time ago. Just another company reflecting the overall state of our country. I also don't expect them to contact me to resolve my issues as they don't care. IF you can avoid making use of their cover, do so as it is not worth you effort.
1 reviews | Active since Jan 2020
I am now completely at my wits end with this company. I have never in my life experienced such bad service! They drop their cover when ever they feel like it. When clients claim they decide to stop covering that specific service. The most recent being orthodontics which will not be covered at all from end October 2017. They are also dropping the amount that they cover for crowns and implants and their over all cover is also being changed. TRY to claim... They apparently take 30 days to process a claim and my recent claim was submitted beginning September and after inquiring on numerous occasions I still dont have clarity as to when I am getting paid. Their most recent email requested that all claims, inquiries etc be sent to ********** however you get cryptic responses and when you require more information you get sent a list of phone numbers to phone. Try and phone those numbers.... you are sure to waste your time. I am way beyond my ability to SMILE at their pathetic service. TRY and get authorization for a procedure and you get ****y responses like "Good day, Please note: No Benefit for in Hospital - Implant procedure (Not covered in to Benefit plan)" Yet when I phoned they all of a sudden covered the implant components just not the hospital procedure. Upon inquiring as to why the didn't ask me if I will be covering the hospital costs, I was told its not their job. They only check the quote. What happened to Customer Services. You can answer me with an email that you don't cover, but you cant sent me an email for clarification????????? If I didnt have a procedure to be done I would have cancelled this a long time ago. Just another company reflecting the overall state of our country. I also don't expect them to contact me to resolve my issues as they don't care. IF you can avoid making use of their cover, do so as it is not worth you effort.
1 reviews | Active since Jan 2020
<p>2017/06/09 Hallo Peter.</p> <p>With this letter I, Eurika Vos Id no ********** 114087, Dental Risk Insurance Policy number SDR ********** , submit a complain regarding abovementioned policy and the breach of my contract please note documentation attached .</p> <p>On 04/10/2015 I received my dental contract with start date on 01/11/2015(pg A1+2) with premiums of R 395.00</p> <p>p.m (pg A1) and orthodontists benefits of R 25000.00 per member p.a (pg13). According to the policy wording (pg 1) the</p> <p> Insurer (Guardrisk Insurance Company), the administrator (Dental Risk Company) and the product intermediary (Thethani Financial Services) is mentioned, not DRUM (Dental Risk Underwriting Managers) or Griffin Insurance Management. According to pg 8(policy termination) 30 days written notice must be given with regards to any changes, neither was I informed telephonically, via SMS, email, fax or post regarding the above mentioned changes or that the contact details of Thethani Financial Services as stipulated in my correspondence and contract received has been chanced and the stipulated numbers does no longer exist or notifications regarding changes of the administrator, underwriters and participants, ( Pg 9 of the contract states that any upgrades can only be done after the first 12 months. Pg 10 states that if any information about the product intermediary, administrator or insurer was given orally, it must be confirmed in writing within 30 days, this was not done either.</p> <p>Only the following emails were received by me with regards to the policy:</p> <p>a) 04/10/2015- Welcoming, with policy contract,</p> <p>b) 24/10/2015- Benefits and policy certificate (BE) and member contribution letter (B 1-3) (premiums 2016 and tax certificate).</p> <p>I would like to mention that according to my policy contract/ policy schedule DRUM (Dental Risk Underwriting Managers) was never mentioned nor have I received any correspondence neither telephonically, via SMS, email, fax or post that Thethani Financial Services are changed to DRUM or Griffin Insurance Management, yet the abovementioned companies claimed (DRUM & Griffin) claims that they send me correspondence regarding my benefit changes for 2016 & 2017(C1+2). This so called send correspondence is in direct violation of my policy contract due to pg 10 4.2 of my contract, where I was never informed and also in violation of my policy contract pg 9 N, where I’m refused to take a better option within 12 months from starting date.</p> <p>According to Franco Schultz from Dental Risk (the administrator) the benefit changes within 19 days of my policy start date on 1/11/2015, my benefits decreased (orthodontist) from R 25000.00 to R 17000.00 per member per life time. As abovementioned I was with held package upgrade within 12 months. Neither was I given written or verbal notification from the administrator of any changes of benefits and neither can they proof that they send me the benefits changes, to accept any changes or to continue with the policy. Because I didn’t receive any correspondence from the administrator, I could not accept the changes, cancel the policy or upgrade to Gold as per comment made by Franco Schultz in email dated 07/06/2017. This is the first date I received correspondence with regards to the benefit changes was it not brought under my attention by the orthodontist on 06/06/2017. My understanding of FAIS is that they (Thethani Financial Services) can increase my premiums but is not allowed to decrease my benefits, neither make any changes to my contract without my telephonically, via SMS, email, fax or any written consent and approval only by the assumption of (Thethani Financial Services), please take note all the above mentioned was also done by (Thethani Financial Services) after the 7 to 14 days FAIS cool off period 19 November 2015.</p> <p> Regards,</p> <p>Eurika Vos</p> <p>Email: **********
1 reviews | Active since Jan 2020
<p>2017/06/09 Hallo Peter.</p> <p>With this letter I, Eurika Vos Id no ********** 114087, Dental Risk Insurance Policy number SDR ********** , submit a complain regarding abovementioned policy and the breach of my contract please note documentation attached .</p> <p>On 04/10/2015 I received my dental contract with start date on 01/11/2015(pg A1+2) with premiums of R 395.00</p> <p>p.m (pg A1) and orthodontists benefits of R 25000.00 per member p.a (pg13). According to the policy wording (pg 1) the</p> <p> Insurer (Guardrisk Insurance Company), the administrator (Dental Risk Company) and the product intermediary (Thethani Financial Services) is mentioned, not DRUM (Dental Risk Underwriting Managers) or Griffin Insurance Management. According to pg 8(policy termination) 30 days written notice must be given with regards to any changes, neither was I informed telephonically, via SMS, email, fax or post regarding the above mentioned changes or that the contact details of Thethani Financial Services as stipulated in my correspondence and contract received has been chanced and the stipulated numbers does no longer exist or notifications regarding changes of the administrator, underwriters and participants, ( Pg 9 of the contract states that any upgrades can only be done after the first 12 months. Pg 10 states that if any information about the product intermediary, administrator or insurer was given orally, it must be confirmed in writing within 30 days, this was not done either.</p> <p>Only the following emails were received by me with regards to the policy:</p> <p>a) 04/10/2015- Welcoming, with policy contract,</p> <p>b) 24/10/2015- Benefits and policy certificate (BE) and member contribution letter (B 1-3) (premiums 2016 and tax certificate).</p> <p>I would like to mention that according to my policy contract/ policy schedule DRUM (Dental Risk Underwriting Managers) was never mentioned nor have I received any correspondence neither telephonically, via SMS, email, fax or post that Thethani Financial Services are changed to DRUM or Griffin Insurance Management, yet the abovementioned companies claimed (DRUM & Griffin) claims that they send me correspondence regarding my benefit changes for 2016 & 2017(C1+2). This so called send correspondence is in direct violation of my policy contract due to pg 10 4.2 of my contract, where I was never informed and also in violation of my policy contract pg 9 N, where I’m refused to take a better option within 12 months from starting date.</p> <p>According to Franco Schultz from Dental Risk (the administrator) the benefit changes within 19 days of my policy start date on 1/11/2015, my benefits decreased (orthodontist) from R 25000.00 to R 17000.00 per member per life time. As abovementioned I was with held package upgrade within 12 months. Neither was I given written or verbal notification from the administrator of any changes of benefits and neither can they proof that they send me the benefits changes, to accept any changes or to continue with the policy. Because I didn’t receive any correspondence from the administrator, I could not accept the changes, cancel the policy or upgrade to Gold as per comment made by Franco Schultz in email dated 07/06/2017. This is the first date I received correspondence with regards to the benefit changes was it not brought under my attention by the orthodontist on 06/06/2017. My understanding of FAIS is that they (Thethani Financial Services) can increase my premiums but is not allowed to decrease my benefits, neither make any changes to my contract without my telephonically, via SMS, email, fax or any written consent and approval only by the assumption of (Thethani Financial Services), please take note all the above mentioned was also done by (Thethani Financial Services) after the 7 to 14 days FAIS cool off period 19 November 2015.</p> <p> Regards,</p> <p>Eurika Vos</p> <p>Email: **********
1 reviews | Active since Jan 2020
<p> Hallo Peter,</p> <p>With this letter I, Eurika Vos Id no ********** 114087, Dental Risk Insurance Policy number SDR ********** </p> <p>I would like to complain regarding abovementioned policy and the violation of my contract.</p> <p>On 04/10/2015 I received my dental contract with start date on 01/11/2015(pg A1+2) with premiums of R 395.00</p> <p>p.m (pg A1) and orthodontists benefits of R 25000.00 per member p.a(pg13). According to the policy wording(pg 1) the</p> <p>The insurer (Guardrisk Insurance Company), the administrator (Dental Risk Company) and the product intermediary (Thethani Financial Services) is mentioned, not DRUM (Dental Risk Underwriting Managers) or Griffin Insurance Management. According to pg 8(policy termination) 30 days written notice must be given with regards to any changes</p> <p>Of the administrator, underwriters and participants. Pg 9 of the contract states that any changes of the contract and upgrades can only be done after the first 12 months. Pg 10 states that if any information about the product intermediary, administrator or insurer was given orally, it must be confirmed in writing within 30 days.</p> <p>Only the following emails was received by me with regards to the policy: 04/10/2015- welcoming, with policy contract,</p> <p>Benefits and policy certificate (BE) and 24/10/2015- member contribution increase letter (B 1-3) (premiums 2016 and tax certificate). I would like to mention that according to my policy contract/ policy schedule DRUM(Dental Risk Underwriting Managers)was never mentioned nor have I received any correspondence neither telephonically, via sms,via email or in writing that Thethani Financial Services are changed to DRUM or Griffin Insurance Management, yet the abovementioned companies claimed(DRUM & Griffin) claims that they send me correspondence regarding my benefit changes for 2016 & 2017(C1+2). This so called send correspondence is in direct violation of my policy contract due to pg 10 4.2 of my contract, where I was never informed and also in violation of my policy contract pg 9 N, where I’m refused to take a better option within 12 months from starting date.</p> <p>According to Franco Schultz from Dental Risk (the administrator) the benefit changes within 19 days of my policy start date on 1/11/2015, my benefits decreased (orthodontist) from R 25000.00 to R 17000.00 per member per life time. As abovementioned I was with held package upgrade within 12 months. Neither was I given written or verbal notification from the administrator of any changes of benefits and neither can they proof that they send me the benefits changes, to accept any changes or to continue with the policy. Because I didn’t receive any correspondence from the administrator, I could not accept the changes, cancel the policy or upgrade to Gold as per comment made by Franco Schultz in email dated 07/06/2017. This is the first date I received correspondence with regards to the benefit changes was it not brought under my attention by the orthodontist on 06/06/2017. My understanding of FAIS is that they can increase my premiums but is not allowed to decrease my benefits.</p> <p> </p> <p>Regards,</p> <p>Eurika Vos</p> <p>@ **********
1 reviews | Active since Jan 2020
<p> Hallo Peter,</p> <p>With this letter I, Eurika Vos Id no ********** 114087, Dental Risk Insurance Policy number SDR ********** </p> <p>I would like to complain regarding abovementioned policy and the violation of my contract.</p> <p>On 04/10/2015 I received my dental contract with start date on 01/11/2015(pg A1+2) with premiums of R 395.00</p> <p>p.m (pg A1) and orthodontists benefits of R 25000.00 per member p.a(pg13). According to the policy wording(pg 1) the</p> <p>The insurer (Guardrisk Insurance Company), the administrator (Dental Risk Company) and the product intermediary (Thethani Financial Services) is mentioned, not DRUM (Dental Risk Underwriting Managers) or Griffin Insurance Management. According to pg 8(policy termination) 30 days written notice must be given with regards to any changes</p> <p>Of the administrator, underwriters and participants. Pg 9 of the contract states that any changes of the contract and upgrades can only be done after the first 12 months. Pg 10 states that if any information about the product intermediary, administrator or insurer was given orally, it must be confirmed in writing within 30 days.</p> <p>Only the following emails was received by me with regards to the policy: 04/10/2015- welcoming, with policy contract,</p> <p>Benefits and policy certificate (BE) and 24/10/2015- member contribution increase letter (B 1-3) (premiums 2016 and tax certificate). I would like to mention that according to my policy contract/ policy schedule DRUM(Dental Risk Underwriting Managers)was never mentioned nor have I received any correspondence neither telephonically, via sms,via email or in writing that Thethani Financial Services are changed to DRUM or Griffin Insurance Management, yet the abovementioned companies claimed(DRUM & Griffin) claims that they send me correspondence regarding my benefit changes for 2016 & 2017(C1+2). This so called send correspondence is in direct violation of my policy contract due to pg 10 4.2 of my contract, where I was never informed and also in violation of my policy contract pg 9 N, where I’m refused to take a better option within 12 months from starting date.</p> <p>According to Franco Schultz from Dental Risk (the administrator) the benefit changes within 19 days of my policy start date on 1/11/2015, my benefits decreased (orthodontist) from R 25000.00 to R 17000.00 per member per life time. As abovementioned I was with held package upgrade within 12 months. Neither was I given written or verbal notification from the administrator of any changes of benefits and neither can they proof that they send me the benefits changes, to accept any changes or to continue with the policy. Because I didn’t receive any correspondence from the administrator, I could not accept the changes, cancel the policy or upgrade to Gold as per comment made by Franco Schultz in email dated 07/06/2017. This is the first date I received correspondence with regards to the benefit changes was it not brought under my attention by the orthodontist on 06/06/2017. My understanding of FAIS is that they can increase my premiums but is not allowed to decrease my benefits.</p> <p> </p> <p>Regards,</p> <p>Eurika Vos</p> <p>@ **********
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