Clientele Health Medical Insurance
Overall, Clientèle Health Medical Aid is a trustworthy and comprehensive medical aid provider that offers 24/7 medical emergency assistance and in-hospital procedures to up to 3 Family Members. The Clientèle Health Medical Aid Plans start from R406 ZAR.
Clientèle Health has the following four plans:
| 🔎 Number of Markets | 1 |
| 📈 Average Customer Rating | 4.1 |
| 4️⃣ The number of plans offered | 4 |
| 🚑 Number of Hospitals in Network | 100+ |
| 🏡 Home care provided | None |
| 😷 Screening and Prevention offered | None |
| 🍼 Maternity Benefit | ✅ Yes |
| 💶 Monthly Premium Range (ZAR) | R406 – R546 |
| ⚠️ Average Waiting Period | 3 – 12 months |
| 🚩 Late-joiner penalties charged | None |
Clientèle Health – Analysis of Medical Insurances’ Main Features
- ✅ Clientèle Health Plan Overview
- ✅ Clientèle Health Advantages over Competitors
- ✅ How to apply for Medical Insurance with Clientèle Health
- ✅ How to Submit a Claim with Clientèle Health
- ✅ How to Submit a Compliment or Complaint with Clientèle Health
- ✅ How to Switch My Medical Insurance to Clientèle Health
- ✅ Clientèle Health Customer Support
- ✅ Clientèle Health Customer Reviews
- ✅ Clientèle Health vs Notable Competitors – A Comparison
- ✅ Clientèle Health Pros and Cons
- ✅ Our Verdict on Clientèle Health
- ✅ Clientèle Health Frequently Asked Questions
Clientèle Health Plan Overview
| 🔎 Medical Aid Plan | 1️⃣ Standard H.E.L.P Plan | 2️⃣ Ultimate H.E.L.P Plan | 3️⃣ Premium H.E.L.P Plan | 4️⃣ Accident Plus Plan |
| 💴 Monthly Premium | R500 | R546 | R825 | R406 |
| 💵 Daily Cash | Up to R2,500 | Up to R2,500 | Up to R3,500 | Up to R2,500 |
| 💶 Maximum Payment | R250,000 per year | R250,000 per year | R1.2 million per year | R250,000 per year |
| 💷 Maximum Lump Sum Pay-Out | Up to R25,000 per hospital stay | Up to R25,000 per hospital stay | None | Up to R250,000 per year |
| 🍼 Maternity Benefit | ✅ Yes | ✅ Yes | ✅ Yes | None |
| ☠️ Accidental Death Benefit | Up to R250,000 | Up to R250,000 | Up to R600,000 | Up to R250,000 |
| 🅰️ Accidental Disability Benefit | Up to R250,000 | Up to R250,000 | Up to R600,000 | None |
| 🅱️ Dread Disease Benefit | Up to R250,000 | Up to R250,000 | Up to R300,000 | None |
| 🧡 Pre-Existing Conditions | Yes, covered after a 12-month waiting period | Yes, covered after a 12-month waiting period | Yes, covered after a 12-month waiting period | None |
| 💰 Premium Payback Benefit | None | ✅ Yes | None | None |
| 4️⃣ Number of Children Covered | 4 – no extra cost | 4 – no extra cost | 4 – no extra cost | 4 – no extra cost |
Health insurance Clientèle Health Advantages over Competitors
The advantages of choosing Clientèle Health Life Insurance include:
- ✅ Individuals and families can obtain affordable medical coverage through Clientèle Health.
- ✅ The company offers a variety of health insurance plans to accommodate a variety of healthcare requirements and budgets.
- ✅ Clientèle Health members have access to a network of healthcare providers and facilities, guaranteeing comprehensive, high-quality care.
- ✅ The company offers a wellness program that provides members with lifestyle coaching, nutritional guidance, and other wellness resources to help them maintain a healthy lifestyle.
- ✅ Telemedicine services, which allow clients to consult with healthcare professionals via phone or video call, make healthcare more accessible and convenient.
- ✅ Clientèle Health offers financial assistance to members who require additional funds to cover medical costs.
- ✅ A company-dedicated claims team can assist members with their claims and guarantee a smooth claims process.
- ✅ Members can tailor their health insurance plans to meet their specific requirements, including the option to add dental and vision coverage.
- ✅ Clientèle Health’s loyalty program rewards members for continued support with premium discounts and other benefits.
The company is dedicated to providing superior customer service and has received positive feedback from satisfied clients.
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How to apply for Medical Insurance with Clientèle Health
To apply for Medical Insurance through Clientèle Health, you must:
- Visit the Clientèle Health website or call their customer service center to learn about the available health insurance plans and their corresponding benefits.
- Choose the health insurance plan that best meets your budget and healthcare needs.
- Fill out the application form with accurate and complete information online or on paper.
- Provide Clientèle Health with any requested documentation, such as medical records or proof of income.
- Pay the premiums specified in the policy contract.
Once your application is approved, Clientèle Health will confirm your health insurance coverage.
Read more about 5 Best Medical Aids for Seniors and Elderly People
How to Submit a Claim with Clientèle Health
To claim from Clientèle Health, policyholders can follow these steps:
- Obtain the Clientèle Health claim form and complete it. The form is accessible via their website or customer service department.
- Include all pertinent information, including the date and nature of the treatment, the name and contact information of the healthcare provider, and the total cost of the treatment.
- Include any necessary supporting materials, such as medical records, receipts, or invoices.
- Submit the claim form and supporting documentation to Clientèle Health via their website, email, or regular mail.
- Wait for the claims team at Clientèle Health to process the claim. If necessary, you may be required to provide additional information or documentation.
As per the terms of your health insurance policy, you will receive reimbursement for covered expenses once the claim is approved.
How to Submit a Compliment or Complaint with Clientèle Health
If you have a compliment or complaint about Clientèle Health, you can follow these steps to have your voice heard:
- Clientèle Health’s customer service can be reached via their website, email, or telephone.
- Specify whether you are submitting a compliment or a complaint.
- Include specific information about the incident, such as the date, time, and individuals involved.
- Provide your contact information so a Clientèle Health representative can contact you if further clarification is required.
Once Clientèle Health’s customer service team receives your compliment or complaint, they will investigate the situation and take appropriate action.
How to Switch My Medical Insurance to Clientèle Health
If you have medical or health insurance with another provider, you can #switch your coverage to Clientèle Health by following these steps:
- Research and compare Clientèle Health’s health insurance plans to those of other medical insurance providers.
- Contact Clientèle Health’s customer service to learn about their available health insurance plans and benefits.
- Choose the health insurance plan that best meets your budget and healthcare needs.
- Fill out the application form with accurate and complete information online or on paper.
- Provide Clientèle Health with any requested documentation, such as medical records or proof of income.
- Request cancellation of your current health insurance policy from your current provider.
Once your application is approved and your previous policy is canceled, Clientèle Health will confirm your health insurance coverage. During the transition period, it is crucial to ensure no coverage gaps.
Clientèle Health Customer Support
Clientèle Health is committed to providing clients with superior customer service. They provide a variety of customer support channels, such as phone, email, and live chat. Furthermore, their website contains a comprehensive FAQ section covering various topics related to their products and services. In addition, they provide clients with an intuitive online portal through which they can manage their policies, submit claims, and make payments.
Clientèle Health Customer Reviews
Prompt and Efficient.
I faced a challenge with Clientèle last month, but I am delighted to report that their response was prompt and efficient in rectifying the situation. Although a full refund was impossible, I am completely satisfied with how expeditiously the matter was handled. – Carolyn Bell
Swift Processing.
I would like to express my appreciation to all the individuals who assisted in the swift processing of my hospital plan claim lodged with Clientèle. Although I regret not being able to recall the name of the courteous lady who contacted me to notify me of the outstanding documents required, I remain deeply grateful for the efficient service received. – Patricia Walton
Highly Impressed.
An agent from the claims unit/contact center recently contacted me. I was highly impressed by their professionalism, attention to detail, and excellent communication skills. Despite my need to repeat information and pose several questions, the agent remained highly efficient and courteous throughout the service. – Lucia McNeil
Clientèle Health vs Notable Competitors – A Comparison
| 🔎 Medical Aid Plan | 🥇 Clientèle Health | 🥈 Elixi Medical Insurance | 🥉 Dis-Chem Medical Insurance |
| 📊 Years in Operation | 16 years | 6 years | 45 years |
| 📈 Average # Members | 1,000+ | 1,000+ | 1,000+ |
| 📉 GCR Rating | A+ | None | None |
| 👥 Number of Employees | 3,000+ | 150+ | 18,000+ |
| ➡️ Market Share | 20%> | <5% | 20%> |
| ↪️ Market Cover | South Africa | South Africa | South Africa |
| 4️⃣ Customer Rating | 4.1 | 3.2 | 4.4 |
| 💯 Number of reviews | 3,000+ | 200+ | 4,000+ |
| 📱 Mobile App | ✅ Yes | ✅ Yes | ✅ Yes |
| 💶 Contribution Range (ZAR) | R406 – R825 | R427 – R902 | R151 – R649 |
| 🌎 International Travel Benefit (ZAR) | None | None | None |
| 💴 Market Capitalization | R3.4 billion | None | R22.34 billion |
READ more about Makoti Medical Scheme
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Clientèle Health Pros and Cons
| ✅ Pros | ❎ Cons |
| Affordable premiums | Limited range of plans |
| Easy application process | Some exclusions for pre-existing conditions |
| Cash-back pay-out for claims not made | Waiting periods for certain benefits |
| No medical examinations required | Limited network of healthcare providers |
| Generous cover for preventative care | No cover for alternative therapies |
| Comprehensive cover for chronic illness | Limited cover for elective procedures |
| No overall annual limit on benefits | No cover for international healthcare |
Our Verdict on Clientèle Health
Clientèle Health is a reputable provider of health insurance in South Africa, offering a variety of plans and options to accommodate various budgets and healthcare requirements. Their cover includes hospital plans, comprehensive medical aid, and gap cover. The availability of emergency medical transportation, 24-hour emergency services, and chronic medication coverage is one of the benefits of using Clientèle Health. Depending on the specific plan and level of coverage selected, Clientèle Health’s premiums may be more expensive than those of other South African health insurance providers.
In addition, some customers have reported difficulties with the claims procedure, which can be aggravating. Despite these potential drawbacks, Clientèle Health’s customer service has received positive feedback. Many customers praise the call center agents’ helpfulness and efficiency. In addition to a strong commitment to corporate social responsibility, the company supports initiatives such as the Sithabile Child and Youth Care Centre, the Clientèle Bursary Scheme, and employee wellness programs.
Individuals and families seeking comprehensive health insurance coverage may want to consider Clientèle Health, with the understanding that premiums may be slightly higher than with other providers and the claims process may require additional effort.
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You might also like: Clientèle Health Premium HELP Plan
You might also like: Clientèle Health Standard HELP Plan
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Frequently Asked Questions
What are the contact details for the Clientèle Hospital Plan?
You can contact Clientèle Health on their toll-free number, 011 320 3000, or email service@Clientèle.co.za.
Where can I find reviews for Clientèle Health Plans?
You can find reviews for Clientèle Health Plans on numerous review websites, including trusted websites and the Clientèle website.
Does the Clientèle Hospital Plan offer cash back?
Yes, the Clientèle Hospital Plan provides cash back after three years of membership without a claim.
What types of medical insurance does Clientèle offer?
Hospital, health, and wellness plans are among the medical insurance options provided by Clientèle Health.
Does the Clientèle Hospital Plan cover pregnancy?
Yes, the Clientèle Hospital Plan covers prenatal and postnatal care during pregnancy and childbirth.
READ MORE: Health Insurance for Pregnancy
How do I claim with the Clientèle Hospital Plan?
You can file a claim with Clientèle Hospital Plan by completing the claims form on the Clientèle website, attaching all required supporting documents, and sending it to claims@Clientèle.co.za.
What is the waiting period for Clientèle H.E.L.P Plans?
H.E.L.P. Plans have waiting periods of between 3 to 12 months, depending on.
What is the Clientèle Ultimate H.E.L.P Plan?
The Clientèle Ultimate H.E.L.P. Plan is a comprehensive health insurance plan that, among other benefits, covers hospitalization, chronic medication, GP visits, and specialist visits. It is intended to offer maximum protection to individuals and families.
How do I cancel my Clientèle Health policy?
To cancel your Clientèle Health policy, please call 011 320 3000 or email service@Clientèle.co.za. They will walk you through the cancellation procedure and may require a written cancellation request.
What is the process for renewing my Clientèle Health policy?
Clientèle Health insurance policies are automatically renewed annually. Therefore, before the expiration date of your policy, you will receive a renewal notice detailing your premium for the following year.
How do I upgrade my Clientèle Health plan?
You can discuss your options with a Clientèle Health consultant by calling or emailing customer support.
Does Clientèle Health cover pre-existing medical conditions?
Clientèle Health may cover pre-existing medical conditions, but cover depends on your policy’s terms and conditions. Therefore, when applying for coverage, disclosing any pre-existing medical conditions is important.
How do I change my personal information on my Clientèle Health policy?
You must contact Clientèle Health via telephone or email to adjust your policy.
Does Clientèle Health offer dental or vision coverage?
Clientèle Health does not offer dental, or optometry coverage separately. However, certain plans, including the Ultimate H.E.L.P. Plan, might cover these services.
Can I add a spouse or dependent to my Clientèle Health policy?
Yes, a spouse or dependent can be added to your Clientèle Health policy.
How do I pay my Clientèle Health premiums?
You can pay your Clientèle Health premiums by debit order, electronic funds transfer (EFT), or direct deposit, among other options.
Does Clientèle Health offer wellness programs or discounts on gym memberships?
Clientèle Health does not provide wellness programs or gym membership discounts. However, they do provide a Wellness Program for employees.
How to Downgrade My Plan with Clientèle Health
If you wish to downgrade or change your insurance plan with Clientèle Health, you can do so by following these steps by contacting the customer service center of Clientèle Health to discuss the possibility of downgrading your health insurance plan.
How do I add a Beneficiary to Clientèle Health?
If you want to add your spouse, a child, and/or adult dependent, you can log into your Clientèle Health profile or Contact Clientèle Health’s customer service.
