Incompetence
<p>June 22 admitted to Waterfall Netcare ICU to attendto upper Git bleed, had five units blood. Surgeon was called to perform a rubber band ligation on the Varices.(Laymans terms elastic bands to secure the haemorrage vericose veins in your stomach) othe wise one can bleed out,</p> <p>One Plan approved of the procedure on 24 June admitted to theatre .</p> <p>Round about 07 July requested authorisatio to perform a follw up procedure and received a letter of repuidation stating the procedure cannot be done due to drug and alcoholic abuse, signed by pre-authorisation nurse .. Lilian....</p> <p>July 10 wrote a letter of complaint to One Plan and after taking the case to the Insuranc Ombudsman...( One Plan sugestion) September 02 get a letter of apology from Zurich Insurance (Underwriters)as well as One Plan..... however they apologise for the procedure I was admitted fororiginaly which doesnt make sense.(June 22)not for the follow up.</p> <p>One Plan want a letter of motivation from the surgeon for a follow up to be done now --- which has been submitted ... forwarded on October 19 turn around time 48 hrs... its now October22... procedure to be carried out October 27,after looking at my portal the Hospital case has been closed .. One Plan appear to be ignoring my request as any enquiry verbal is ignored.</p> <p>Do these people actually read the correspondence and note the dates .. if it doest suite them your enquiry is ignored, this is a health insurance company--- the client comes last --- what if I have an internal vein rupture.. told by my GP have four minutes.</p> <p>As for the underwriter (Zurich) the lady who dealt with the case(Santi) is unreachable.... returned mails.</p> <p>An *********** bunch of clowns.</p>
Hi Rob,
We are truly sorry that your experience with us thus far has not been a good one and apologise for the inconvenience caused.
We are investigating further to ensure that this is resolved with urgency and will be in contact with you very shortly.
Thank you for taking the time to bring this matter to our attention.
Kind Regards
OnePlan
Hi Rob,
We are truly sorry that your experience with us thus far has not been a good one and apologise for the inconvenience caused.
We are investigating further to ensure that this is resolved with urgency and will be in contact with you very shortly.
Thank you for taking the time to bring this matter to our attention.
Kind Regards
OnePlan
Winner of Five awards for Excellence is a farce .. aplolgies's are hollow without sincerety .. received a message from Thabiseng Tsotetsi Team Leader Hospital Insurance who now has referred the enquiry ... same old, same old, goes to Authorisations who sit on it or lose it.
Too many departments not knowing who is handling what and the patient is left hanging in the air.
Otten should get of his fundermental and see what a mess their administration is .. bunch of buck passers.
Cant these people understand its a follow up to a procedure done is hospital June 24 ... when we needed authorisation for the follow up a month later were informed that according to One Plan medical records show Im a drug abuser ..
One Plan have no idea who my GP is or my medical record -- firstly I had Hepatitis A & Malaria that gave my Liver hell ... this has gone to the Insurance Obudsman & back and still no resolve --- expecting to see another advisory that Im a drug abuser.
Wonder if ther hands shake when they receive ther salary month end?
Winner of Five awards for Excellence is a farce .. aplolgies's are hollow without sincerety .. received a message from Thabiseng Tsotetsi Team Leader Hospital Insurance who now has referred the enquiry ... same old, same old, goes to Authorisations who sit on it or lose it.
Too many departments not knowing who is handling what and the patient is left hanging in the air.
Otten should get of his fundermental and see what a mess their administration is .. bunch of buck passers.
Cant these people understand its a follow up to a procedure done is hospital June 24 ... when we needed authorisation for the follow up a month later were informed that according to One Plan medical records show Im a drug abuser ..
One Plan have no idea who my GP is or my medical record -- firstly I had Hepatitis A & Malaria that gave my Liver hell ... this has gone to the Insurance Obudsman & back and still no resolve --- expecting to see another advisory that Im a drug abuser.
Wonder if ther hands shake when they receive ther salary month end?
