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Leilani L

1 reviews | Active since Nov 2020

29 Aug 2025, 10:35

Bad service Oneplan

Ive been a client of Oneplan more almost 10 years. The past few years has the services worsen and I ended up paying for my script medication out of my own pocket. Halfway through the year, whenI want to claim for my script meds they will send a message saying 'you have reached your annual limit'. My script meds per month is R95. When I wanted to claim for over the counter meds, the same message willbe sent to me. I ended up paying 1505 pm for nothing and still needed to pay for Dr fees, medicine etc out of my own pocket. I wouldn't suggest oneplan to anyone. They are just taking yout money for nothing and you still need to pay for medical things out of your own pocket.

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Replies (1)
Oneplan Insurance
Oneplan Insurance's reply29 Aug 2025, 10:55
Official
Dear Leilani,

Thank you for bringing this matter to our attention. 

We would like to extend our apologies for any inconvenience or confusion you may have experienced. We take client feedback seriously and are committed to maintaining the highest standards of service.

We have carefully reviewed your policy details in relation to your concerns.

Please note that all benefits on your policy, including the two you mentioned, have specific cover and annual limits. These limits reset annually on your policy anniversary, which in your case is November 1st.

For over-the-counter medication, claims can only be made once per year. Scripted medication can be claimed up to three times within each policy year. According to our records, since your last renewal, you have already made three claims for scripted medication.

Our health insurance covers benefits up to the limits specified in your policy documents. The premium you pay covers a range of benefits, including hospital cover and various day-to-day expenses, not just medication claims.

We sincerely apologize for any inconvenience this may have caused. If you have any further questions or need additional assistance, please don’t hesitate to contact us.

Kind regards,
Oneplan.