SM
Sechaba M

1 reviews | Active since Mar 2025

18 Mar 2025, 17:12

I was admitted to the hospital with pulmonary embolism on the 29th of January

I was admitted to the hospital with pulmonary embolism on the 29th of January. I sent Oneplan my doctors invoice on the 13th of February and was told it was captured on the 22nd of February and was finalized on the 25th, it will take 7 to 14 days to be paid. Yesterday I contacted them to find out if my doctor was paid, I was told there's no claim captured on my plan for the 25th of February. When you try to contact them, they send you from one person to the next and they all tell you different stories. I am getting tired of this, I wish they can just finish this so that I can have peace in my recovery.

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Replies (1)
Oneplan Insurance
Oneplan Insurance's reply18 Mar 2025, 18:11
Official
Dear Sechaba, 

Thank you for bringing this matter to our attention. 

We apologize for the circumstances surrounding your Hellopeter posting and the inconvenience caused. Please be assured that we take customer feedback seriously and use it to continually improve our services and processes to ensure we meet our clients' expectations. Your satisfaction is important to us, and we value your business. 

Upon reviewing your complaint, we have escalated your policy for further assistance and investigation. 

We truly appreciate your patience while we processed your claim. There was a slight delay in obtaining the necessary details from the provider to validate and approve the claim. However, the claim has now been processed and will be paid within 30 days, in line with our standard agreement with service providers. 

Please note that day-to-day claims settled on the card follow a different process and are paid within 7-14 working days, excluding weekends. 

We again apologize for any inconvenience caused and hope to restore your experience with our services.

Kind regards, 
Oneplan.