PG
Paulo G

1 reviews | Active since Feb 2014

25 Oct 2017, 11:48

Blaming Technical problems and not the employee problems

Sort this out today or I cancel and block you from taking my hard earned cash from my account I have been with your for years you have taken thousands from me I have hardly every claimed but you battling to pay R700 Dentistry account,,What has happened to your Company!!!!!???

Hi Paulo,

Your Dentistry Cover on 2017/10/12, Reference no. ********** can’t be approved. A consultant will contact you from the following number ********** 141.

Remember that Oneplan is NOT a medical aid but medical insurance. Should you have any questions, please contact us on the numbers provided and our call centre will assist you.

We wish to always provide you with superior services. Our clients are our #1 priority. We look forward to establishing a healthy relationship with you. For any queries, please do not hesitate to contact us on ********** 141.

Regards, The Oneplan Team

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Replies (1)
Oneplan Insurance
Oneplan Insurance's reply26 Oct 2017, 09:15
Official

Hi Paulo,

We would like to apologize for any inconvenience caused. Our clients are our number one priority and we aim to provide them with only the best service. In this endeavour, we reviewed your complaint and found our records to show an attempt to contact you on 20 October 2017 regarding your claim. We further found that the supporting documentation submitted was an unclear statement. Please refer to clause 1.4.2.10 of our policy wording detailing the claims process and which your previous submissions comp**** to.

Clause 1.4.2.10, "Only detailed/specified accounts will be accepted for payment/refunds of hospital claims (unclosing emergency unit /casualty claims). Statements will not be accepted."

Should you provide us with a copy of the invoice we will as a matter of urgency process your claim. We regrettably have to process our claims in line with our protocols.

We trust this to be in order. Promising our best service always.

Regards,

The Oneplan Team