CL
Charity L

1 reviews | Active since Feb 2017

09 Sept 2024, 13:59

BAD, BAD, BAD SERVICE

I am very disappointed, actually I am very disgusted with one plan health, on Friday 06/09/2024 I used an app to claim for doctor's visit as I needed to take my old very old sick mother to the doctor, I went to the ATM to withdraw the money only to find that the money is not in, as a person I give it another try, still there nothing came out. I went back to my office a trip of 5 minutes' drive, to call one plan insurance and explained what happened, the guy loaded for me and because I had an appointment for my mother and time was running out, I will withdraw money to another ATM which is next to the doctor's rooms, only to find that the ATM rejected the card with the reason being I have used the pin 3 times there for I need to contact institution. My question is... One plan keeps on telling people to use their app to load funds knowing very well that their app don't load money instead you will receive sms telling you that your claim cannot be approved, the reason being: Previous claim still open. Which previous claim because I just claimed. One plan like to push people for invoices within one second of uploading a new claim, no matter how long you have been with one plan they will always treat you like you want to ***** their money. I end up asking a doctor to pay the money that I had for my children's bread and milk, which he only charged me R200. This is unacceptable I pay my premium every month without any hassles only to be treated like a ***** BY ONE PLAN HEALTH INSURANCE. I won't recommend One plan for any poor citizen of South Africa to joint them because they treat like "*****S" THEY KNOW WE CANNOT AFFORD PROPER MEDICAL AIDS BECAUSE OF NOT AFFORDING, ONCE YOU JOIN THE THEY STARD WITH THEIR TRUE COLOURS

0
Replies (1)
Oneplan Insurance
Oneplan Insurance's reply09 Sept 2024, 16:57
Official
Dear Charity,

Thank you for taking the time to bring this to our attention.
  
We sincerely apologize for any inconvenience caused and the circumstances under which your Hellopeter posting has reached. We do take customer feedback seriously to improve our service and process to ensure that we meet our client’s expectations as we do value your mom as our client. 
 
We have attempted to contact you on the listed number; however, it rings to no avail.
 
Records on our system confirm that GP funds were successfully loaded onto your mom's Onecard on the 06th of September 2024. 

Kindly note that the SMS you received relating to a previous claim being opened was due to the GP funds that were requested to be loaded more than once via the Oneplan App. It is important to note that when clients attempt to load funds via the Oneplan App, they must always check the balance to avoid duplicate funds being loaded which would trigger SMS communication for an open claim.

When funds for a benefit or a refund are loaded onto the Onceard, due to the benefits of the Onecard being similar to that of a bank card, please note that bank charges will apply. 

Please note for day-to-day claims, funds are loaded within 60 seconds onto the Onecard, and the system will pull the funds back if the funds are not utilized within 24 - 48 hours. Clients are still able to load new funds should the funds be reversed due to it not being utilized. This is just a security measure put in place since clients have access to load claim funds on the Onecard at any time.

Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. The terms and conditions of the policy must be adhered to and app**** fairly to all clients. We do have your mom's best interests at heart, and we will assist with all we can in line with our terms and conditions. Please note we are governed by the FAIS Act and must apply the TCF policy to ensure all our clients receive fair service and cover. 

As our clients are a priority to us, we would appreciate it if you could provide us with a suitable time or alternative contact number for us to discuss this matter further.
 
Thank you and we look forward to hearing from you soon.
 
Kind Regards,
Oneplan