1 reviews | Active since Feb 2017
DONT CARE FOR MEMBERS ONLY MONEY
one plan health blocked consultation fee from my mom's health policy from March 28th to 5th May, in a process my mom was sick, and I couldn't claim any money to take her to the doctor, just because the details invoice from the doctor my mom's name and surname was handwritten. To make matters worse, their consultation fee is R400 whereas doctors charges R600. They told me when I ask what was wrong with the invoice, they told me that they suspect *****, how can I do ***** whereas they every month get my money from my bank account for membership? It is now 2nd time this one plan does this to me; it is not for the first time one plan suspect me of doing ***** to my membership which I pay every month. How can they block the 82 years old granny's R400 to consult just for a handwritten receipt. I paid more than R400 that night to the doctor. They blocked R400 and I R1750 to the doctor that night. Does this sound like I was doing *****?????? I think for them to take my monthly installment from March until yesterday they opened their R400 was them doing ***** to me. I won't even advice anyone to join one plan as they don't care for their members, they only care for our money... PERIOD...
We would like to clarify that computer-generated detailed invoices are required for claims to be processed as we no longer accept hand-written invoices. The reason for this is for auditing purposes on our side and to prevent *****. Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. Kindly note that an updated policy schedule was sent to the email address registered on the policy, and it includes an example of a valid invoice that may be submitted for a claim. We have also noted that this was sent to you on the WhatsApp chat for your perusal.
In a case where a claim is rejected or outstanding, no new claims will be processed on the policy until the claim has been finalized.
Additionally, we would like to clarify that claims are reviewed subject to the stated cover limits as per the plan selected. The client is liable for the shortfalls.
We encourage our valued clients to read through the policy schedule to fami****ize themselves and understand their policy and 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 will assist with all we can in line with our terms and conditions.
We sincerely apologize for any inconvenience caused and appreciate your understanding as we work to restore your experience with our service.
Kind regards,
Oneplan.
We would like to clarify that computer-generated detailed invoices are required for claims to be processed as we no longer accept hand-written invoices. The reason for this is for auditing purposes on our side and to prevent *****. Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. Kindly note that an updated policy schedule was sent to the email address registered on the policy, and it includes an example of a valid invoice that may be submitted for a claim. We have also noted that this was sent to you on the WhatsApp chat for your perusal.
In a case where a claim is rejected or outstanding, no new claims will be processed on the policy until the claim has been finalized.
Additionally, we would like to clarify that claims are reviewed subject to the stated cover limits as per the plan selected. The client is liable for the shortfalls.
We encourage our valued clients to read through the policy schedule to fami****ize themselves and understand their policy and 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 will assist with all we can in line with our terms and conditions.
We sincerely apologize for any inconvenience caused and appreciate your understanding as we work to restore your experience with our service.
Kind regards,
Oneplan.