DO
Dianne O
1 reviews | Active since Feb 2024
23 Feb 2024, 16:58
Disappointed with so little available when my dog is ill
Disappointed with so little available when my dog is ill. This is when we really need support but all they can tell us is we have reached our limit. Surely Bella should be covered if diagnosed with illness. So no support with medication etc. very disappointed. Costs a lot per month then when I am honest about her health and don’t ask for much I’m told. Sorry she has reached her limit. So where is the part that they are covered if become ill?????
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Oneplan Insurance's replyOfficial
23 Feb 2024, 19:08Dear Dianne,
Thank you for taking the time to bring this to our attention. We are sorry to hear about the way you feel as we will always have our clients and fur-babies best interests at heart.
Thank you for taking the time to bring this to our attention. We are sorry to hear about the way you feel as we will always have our clients and fur-babies best interests at heart.
Kindly note that the Classic Plan that your fur-baby is covered on has day-to-day and In-hospital benefits.
A vet consultation prescribed medication, pathology, radiology, medically justifiable dentistry, minor procedures, and treatments, or diagnostic tests will be covered under the Casualty benefit up to the cover limit of R1400 and your fur-baby has 4 Casualty Benefit claims per year.
Records on our system confirm that Bella has already utilized her 4 Casualty claims for the year. Kindly note that once a benefit limit has been exceeded, it will be renewed on the anniversary of the policy.
Records on our system confirm that Bella has already utilized her 4 Casualty claims for the year. Kindly note that once a benefit limit has been exceeded, it will be renewed on the anniversary of the policy.
The Pet Med Savings benefit covers preventative care claims for your fur-baby such as voluntary sterilization, vaccinations, deworming, tick and flea control, anal gland expression, dental scaling and polishing, nail clipping, chronic medication, hydro- and physiotherapy. This will be covered up to the annual cover limit of R750. Should clients request for more cover, they can choose to add on the Pet Med Booster which offers an additional towards preventative care claims.
For a claim to be reviewed under In-Hospital Admission we will require a completed claims form from the vet and invoice must reflect details of an in-hospital corrective procedure. If the invoice does not reflect a corrective procedure, it will be covered under the Casualty benefit up to the respective cover limits as this is in line with our policy terms and conditions. All in-hospital claims must meet our admission matrix which is found in your policy schedule.
Insurance or indemnity insurance covers up to a respective cover limit. We inform all our clients that this product is not a Medical Aid product but a Health Insurance product. Our products are marketed and disclosed that we cover up to certain cover limits as the cover is not unlimited and there is an annual cover limit on all benefits offered which will renew on the anniversary of the policy.
We encourage all our clients and potential clients to ensure that they do understand all products available in the market and perhaps approach their Financial Advisor for a factual comparison of products as hearsay may cause a consumer to make a decision based on inaccurate information.
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 for all clients. 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.
We have acknowledged your query and we have escalated the matter to the relevant department. One of our consultants will be in contact with you to further discuss the matter at hand.
Once again, we apologize for any inconvenience caused and we hope to restore the experience.
Once again, we apologize for any inconvenience caused and we hope to restore the experience.
Kind Regards,
Oneplan
Oneplan
Oneplan Insurance's reply23 Feb 2024, 19:08
Official
Dear Dianne,
Thank you for taking the time to bring this to our attention. We are sorry to hear about the way you feel as we will always have our clients and fur-babies best interests at heart.
Thank you for taking the time to bring this to our attention. We are sorry to hear about the way you feel as we will always have our clients and fur-babies best interests at heart.
Kindly note that the Classic Plan that your fur-baby is covered on has day-to-day and In-hospital benefits.
A vet consultation prescribed medication, pathology, radiology, medically justifiable dentistry, minor procedures, and treatments, or diagnostic tests will be covered under the Casualty benefit up to the cover limit of R1400 and your fur-baby has 4 Casualty Benefit claims per year.
Records on our system confirm that Bella has already utilized her 4 Casualty claims for the year. Kindly note that once a benefit limit has been exceeded, it will be renewed on the anniversary of the policy.
Records on our system confirm that Bella has already utilized her 4 Casualty claims for the year. Kindly note that once a benefit limit has been exceeded, it will be renewed on the anniversary of the policy.
The Pet Med Savings benefit covers preventative care claims for your fur-baby such as voluntary sterilization, vaccinations, deworming, tick and flea control, anal gland expression, dental scaling and polishing, nail clipping, chronic medication, hydro- and physiotherapy. This will be covered up to the annual cover limit of R750. Should clients request for more cover, they can choose to add on the Pet Med Booster which offers an additional towards preventative care claims.
For a claim to be reviewed under In-Hospital Admission we will require a completed claims form from the vet and invoice must reflect details of an in-hospital corrective procedure. If the invoice does not reflect a corrective procedure, it will be covered under the Casualty benefit up to the respective cover limits as this is in line with our policy terms and conditions. All in-hospital claims must meet our admission matrix which is found in your policy schedule.
Insurance or indemnity insurance covers up to a respective cover limit. We inform all our clients that this product is not a Medical Aid product but a Health Insurance product. Our products are marketed and disclosed that we cover up to certain cover limits as the cover is not unlimited and there is an annual cover limit on all benefits offered which will renew on the anniversary of the policy.
We encourage all our clients and potential clients to ensure that they do understand all products available in the market and perhaps approach their Financial Advisor for a factual comparison of products as hearsay may cause a consumer to make a decision based on inaccurate information.
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 for all clients. 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.
We have acknowledged your query and we have escalated the matter to the relevant department. One of our consultants will be in contact with you to further discuss the matter at hand.
Once again, we apologize for any inconvenience caused and we hope to restore the experience.
Once again, we apologize for any inconvenience caused and we hope to restore the experience.
Kind Regards,
Oneplan
Oneplan