1 reviews | Active since Feb 2013
Claim rejected
Bad exoerience when my dog got ill. Refusing to pay out a claim after I have been paying R1000 a month. My dog developed a sist last year December. The syst bursted and she had bleeding inside her ear canal. I had to rush her to the Vet as it was bleeding non stop. The dr drained the syst to prevent Lumpy from dying. In my policy it stated that they pay for emergencues and her yearly vacinations. As Lumpy were not on the plan for a year at that time, the dr could not operate to remove the sist. To safe Lumpy's life, the Vet had to drain it. I then got a email from them that the whole claim was rejected. They even refused to pay for her yearly vacs. I was then informed that they can only cover tumours and systs aftet a year. That I totally understand but the syst was not removed. Then I was informed again that any claim related to tumours or systs will not be paid out. My question is, we never claimed before and after paying more than R10000 my claim was rejected. I could have out that money in a savings account and pay the Vet direct. For nearly a year I have been waisting money. Lumpy's life was in danger and she would have died of infection. I really need some advice.
Kindly note that section 7 of the policy schedule states the following; The conditions listed below will specifically be excluded from cover for all insured cats and dogs for a period of twelve (12) months from date of inception (pay attention to these!):
- Cancer
- Arthritis
- Heart disease
- Tumours/masses/growths
- IMHA (Immune-Mediated Haemolytic Anaemia), Tuberculosis (TB)
- Diabetes
- Con*******, hereditary and pre-existing conditions
We have noted that the inception date of your policy is 2025/06/27, which means the condition in question falls within the above-mentioned list and the waiting period is applicable in full.
Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. We will assist with all we can in line with our terms and conditions. Oneplan subscribes to its TCF principles and will take all reasonable steps to ensure fair and equal treatment of all our clients.
We trust that this clarifies the matter.
Kind regards,
Oneplan.
Kindly note that section 7 of the policy schedule states the following; The conditions listed below will specifically be excluded from cover for all insured cats and dogs for a period of twelve (12) months from date of inception (pay attention to these!):
- Cancer
- Arthritis
- Heart disease
- Tumours/masses/growths
- IMHA (Immune-Mediated Haemolytic Anaemia), Tuberculosis (TB)
- Diabetes
- Con*******, hereditary and pre-existing conditions
We have noted that the inception date of your policy is 2025/06/27, which means the condition in question falls within the above-mentioned list and the waiting period is applicable in full.
Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. We will assist with all we can in line with our terms and conditions. Oneplan subscribes to its TCF principles and will take all reasonable steps to ensure fair and equal treatment of all our clients.
We trust that this clarifies the matter.
Kind regards,
Oneplan.
OnePlan is quick to take money but don't oay claims. I could have put that money into a savings account and paid the Vet directly. Who gave OnePlan the authority to take R2000 from my account.
OnePlan is quick to take money but don't oay claims. I could have put that money into a savings account and paid the Vet directly. Who gave OnePlan the authority to take R2000 from my account.