AA
Alex A

1 reviews | Active since Aug 2023

11 Aug 2023, 12:58

It’s incredibly difficult to communicate with them as you wait almost a half an hour for them to respond on WhatsApp

It’s incredibly difficult to communicate with them as you wait almost a half an hour for them to respond on WhatsApp. They don’t guide you through the issues that you are having. It’s like talking to a brick wall. They also don’t have communication between the guy that handles WhatsApp and their customer care line. How am I supposed to know that my claims are being processed. They also don’t cover anything fertility related such as my birth control which is actually SCRIPTED which should actually be considered a hate crime because what happened to women’s rights ? If I could I would give one plan a fat ZERO as a rating. Cause the last thing I want to do when I’m sick is go back and forth with them.

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Replies (1)
Oneplan Insurance
Oneplan Insurance's reply11 Aug 2023, 13:50
Official
Good day Alex,

Thank you for taking the time to bring this to our attention. 
    
We sincerely apologize for any delays you may have experienced and the circumstances under which your Hellopeter posting has reached us, as we strive to attend to all our queries in a timely manner and we do take customer feedback seriously to improve our service and process to ensure that we meet our client’s expectations.

Kindly note that all birth contraceptives benefit one of our general exclusions, which are things not funded for by the Insurer. Unfortunately, this falls within the bounds of our very few excluded conditions.  According to our policy schedule under the heading "Scripted Medication" and "What you are Not Covered For," it states that we do not cover preventative treatment such as Contraceptives/birth control medication.

Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. We do have our client'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. 
 
We have acknowledged your complaint and we have escalated the matter to the relevant department. One of our consultants will be in contact with you to further discuss the matter at hand.
          
Once again, we apologize for any inconvenience caused and we hope to restore the experience. 
                   
Kind Regards,
Oneplan