PP
Prishern P

1 reviews | Active since Jul 2016

06 Jul 2020, 16:42

*********** Insurance Health Plan

I'm appalled to note that ONE PLAN has refused to cover my dad As a covid 19 patient.They considerably are *********** bunch of staff who know nothing.Firstly my dad was taken to the hospital oh yes we didn't use your ambulance service cos we used our own.On admission he was asked to pay upfront and that lung infection is not covered.However he was already covid positive which we sent through to them.The hospital could not keep him cos they did not get approval for Authorisation.When I call the call centre they respond u not the policy holder we don't disclose info.So how will a dying patient get treatment through there grave.Yes im disgusted after approval was given the response by the admission team is its only approved by lenancy.Since when "Lenancy " has become such a thing.There is no such explanation i will hold that word and one plan for any consequences that happens to my father.Sadly he had to return home due to one plan *********** behaviour.Yes im his son i live abroad.Contact me I will like to hear from a qualified person i will put my contact somewhere here.

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Replies (1)
Oneplan Insurance
Oneplan Insurance's reply10 Jul 2020, 09:34
Official
Hi Prishern,
 
We would like to profusely apologize for the inconvenience caused. This really isn't the standard of service we wish to provide to our clients.
 
The initial claim was declined because the condition that your dad was requesting authorization for is symptomatically related to a total exclusion on his policy.
The claim was then reviewed and the authorization granted due to the times we live with the COVID-19 pandemic. 
We acknowledge and apologise for the delay however the matter had to be reviewed first before a final decision could be made. 
Please refer to the policy schedule and the terms and conditions for the exclusion and leniency clause.
 
Kind Regards
Oneplan