1 reviews | Active since Apr 2014
Horrible horrible service!!! The worst
This morning June 28/2022, I called in to be assisted by Sheldon the most horrible, inhumane person. When I explained why I need to claim for my daughters pathology test claim he blatantly said it’s not a life and death situation so they can’t make an exception and I claim all 3 of them because I need them and because my annual year begins again next month I don’t see why I should not be given all 3 claims that I have been paying for the whole year. And now that my daughter needs to make use of them for her allergy tests that landed her in hospital this animal of a person tells me it’s not a life and death situation because my daughter is not in hospital anymore..... I thought I could do another year with this medical insurance but it has proven time and time again to be the worst nonsense ever. The only reason I continued with it for so long was because of a lovely lady that I have been dealing with called Mereshnie after talking to these rude consultants that they have hired. And I called today because I could not get hold of her via E-mail. And I spoke to this horrible person. There is no way one plan can not be able to pay for my daughters allergy tests just because of the “6 day rule “ this Sheldon was telling me about. I’ve paid for it I didn’t use it and now I need them to pay it so my 11 month year old little girl can get her tests done. They don’t explain all this when they want you to take their insurance. Even Doctors in hospitals hate this insurance. They take time to pay, and they have stories when you claim.
Thank you for taking the time to bring this to our attention.
We would like to apologize profusely for any inconvenience caused and the circumstances under which your Hellopeter posting has reached us. We do take customer feedback seriously to improve our service and process to ensure that we meet our client’s expectations. Customer service is our number one priority, and this is not the level of service we aim to provide our clients with. Please rest assured that this matter will be investigated, as we do value you as our client.
We have attempted to contact you on the listed number; however, it was to no avail.
Kindly note according to our policy schedule under the Pathology benefit it states that Blood tests done over a period of six (6) days will be seen as one (1) claim. For example, if your limit is R500 for each Pathology claim and the full amount has been utilized for that claim, you may only claim for another Pathology claim 6 days from the initial claim.
There are annual cover limits on all our cover types. Once the annual cover limit has been exceeded, the cover limit benefit will renew on the anniversary of your policy. Please note that should you have any funds remaining it will not be carried over into your new policy year since the funds are renewed each year on the anniversary of your policy and you will receive new cover benefits and limits.
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. We do have your baby's best interests at heart, and we will assist with all we can in line with our terms and conditions. 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.
Once again, we apologize for any inconvenience caused and we hope to restore the experience.
Oneplan
Thank you for taking the time to bring this to our attention.
We would like to apologize profusely for any inconvenience caused and the circumstances under which your Hellopeter posting has reached us. We do take customer feedback seriously to improve our service and process to ensure that we meet our client’s expectations. Customer service is our number one priority, and this is not the level of service we aim to provide our clients with. Please rest assured that this matter will be investigated, as we do value you as our client.
We have attempted to contact you on the listed number; however, it was to no avail.
Kindly note according to our policy schedule under the Pathology benefit it states that Blood tests done over a period of six (6) days will be seen as one (1) claim. For example, if your limit is R500 for each Pathology claim and the full amount has been utilized for that claim, you may only claim for another Pathology claim 6 days from the initial claim.
There are annual cover limits on all our cover types. Once the annual cover limit has been exceeded, the cover limit benefit will renew on the anniversary of your policy. Please note that should you have any funds remaining it will not be carried over into your new policy year since the funds are renewed each year on the anniversary of your policy and you will receive new cover benefits and limits.
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. We do have your baby's best interests at heart, and we will assist with all we can in line with our terms and conditions. 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.
Once again, we apologize for any inconvenience caused and we hope to restore the experience.
Oneplan