LT
Lance T

1 reviews | Active since Jul 2019

11 Jul 2019, 11:58

Bad service

I was at the doctor Sunday but only sent my invoice through on Monday. So yesterday I received a message stating my claim was reversed and any fund used should be replaced. This morning speaking to 2 people I found out that the claim was rejected due to things that is not covered such as psychiatric or mental illness. Strange enough I was at the doctor for servere muscle spasms in my neck. I want answers as why the claims department stated that on the claim ticket such untrue and false information. I will be taking this further as I'm being classified as mental/ psychiatric. Very bad service and I will have my lawyer take this matter further . And I want my account to be cancelled with immediate effect

0
Replies (2)
Oneplan Insurance
Oneplan Insurance's reply11 Jul 2019, 12:38
Official
Good day Lance, 

We're truly sorry for the inconvenience which has been caused. 

Kindly note that claims are assessed based upon the information stipulated on the invoice provided. As per the services rendered on the invoice; the claim has been declined as this is related to a general exclusion on our policies.

Should there be a capturing error by the practice; you may contact them in this regard to obtain the correct invoice so we may assist further.

Kind regards
The Oneplan Team 
LT
Lance T's update11 Jul 2019, 12:42
Reviewer Update
I don't want a person with no authority to get back to me. I want someone such as your sales director or managing director to phone me. I have all papers from the doctor and I wont let this go laying down