pP
plabise P

1 reviews | Active since Apr 2017

18 Mar 2019, 12:04

Fail to deliver what they promise

My work called an Ambulance due to my illness while at work, One plan never paid the Ambulance, they are saying my illness was not life threatening.

0
Replies (3)
Oneplan Insurance
Oneplan Insurance's reply18 Mar 2019, 22:23
Official
Hi Pumeza,

We are sorry to hear about your experience with us and for any inconvenience caused by this.
Kindly allow us some time to have a look into your policy and we will revert back to you shortly thereafter.

Regards,
The Oneplan Team
Oneplan Insurance
Oneplan Insurance's reply20 Mar 2019, 21:57
Official
Hi Pumeza,

Thank you for your patience. 

We have looked into your policy and we do see that your claim had been declined as the triage was yellow as provided by the ambulance service.

Kindly note that as per our policy wording, a yellow triage is covered under the applicable health cover for example GP, medication, pathology or radiology. Emergency cover will be considered based on the final diagnosis and treatment required.

We trust the above finds you well and should you have any further concerns regarding this, please do send an email to *** so that we may assist further.

Regards,
The Oneplan Team
pP
plabise P's update26 Mar 2019, 14:46
Reviewer Update
My work called the Ambulance while I was in a state, should I have told them to STOP, When faced with an illness and in severe pain One plan only pays per Triage. You make it sound like, I called the Ambulance for a Headache. How can people trust you if that is how you deal with an illness. Any One plan client should be told, when faced with an illness they might not pay the claim and never call an ambulance because you're sick, only call when you're dying