VR
Ver R
1 reviews | Active since Mar 2009
02 Oct 2022, 22:22
NIGHTMARE TO CLAIM - EXCUSES TO AVOID REFUNDS
I'VE SUBMITTED EXACTLY THE SAME REFUND INVOICE BEFORE AND IT WAS PROCESSED WITHOUT ISSUES. THE SAME INVOICE FROM THE SAME DOCTOR WITH THE SAME DETAILS IS NOW REJECTED- REASON BEING 'PROOF OF PURCHASE' WHILE IT STATES PAID IN CASH.
INCONSISTENT AND FRUSTRATING CLAIM PROCESS!!!!!
I PAY ALMOST R1500 EVERY MONTH AND A REFUND OF R500 ONCE IN A WHILE IS A MASSIVE ISSUE. ONEPLAN LOOKS FOR REASONS NOT TO PAY CLAIMS... ILLOGICAL REASONS SUCH AS EXPLAINED ABOVE.
I AM SURE I CAN GET BETTER SERVICE, WITH NO EXCUSES TO PAY MY CLAIMS AND EVEN BETTER PREMIUMS ELSEWHERE!
Helpful (0)
Replies (5)0
Replies (5)
Oneplan Insurance's replyOfficial
03 Oct 2022, 07:55Good day Ver Ray,
Thank you for taking the time to bring this to our attention.
We are sorry to hear of the circumstances under which your Hellopeter posting has reached us and we do apologize for any inconvenience caused. We do take customer feedback seriously to improve our service and process to ensure that we meet our client’s expectations.
Kindly note terms and conditions of the policy must be adhered to and app**** fairly for all clients, please note that this is by no means a ploy to refuse payment of the claim. For a refund to be processed for the day to day benefits we require a detailed invoice reflecting the client’s name. and the proof of payment. We do have your best interests at heart, and we will assist with all we can in line with our terms and conditions.
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 the inconvenience caused and we hope to restore the experience.
Kind Regards,
Oneplan
Thank you for taking the time to bring this to our attention.
We are sorry to hear of the circumstances under which your Hellopeter posting has reached us and we do apologize for any inconvenience caused. We do take customer feedback seriously to improve our service and process to ensure that we meet our client’s expectations.
Kindly note terms and conditions of the policy must be adhered to and app**** fairly for all clients, please note that this is by no means a ploy to refuse payment of the claim. For a refund to be processed for the day to day benefits we require a detailed invoice reflecting the client’s name. and the proof of payment. We do have your best interests at heart, and we will assist with all we can in line with our terms and conditions.
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 the inconvenience caused and we hope to restore the experience.
Kind Regards,
Oneplan
Oneplan Insurance's reply03 Oct 2022, 07:55
Official
Good day Ver Ray,
Thank you for taking the time to bring this to our attention.
We are sorry to hear of the circumstances under which your Hellopeter posting has reached us and we do apologize for any inconvenience caused. We do take customer feedback seriously to improve our service and process to ensure that we meet our client’s expectations.
Kindly note terms and conditions of the policy must be adhered to and app**** fairly for all clients, please note that this is by no means a ploy to refuse payment of the claim. For a refund to be processed for the day to day benefits we require a detailed invoice reflecting the client’s name. and the proof of payment. We do have your best interests at heart, and we will assist with all we can in line with our terms and conditions.
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 the inconvenience caused and we hope to restore the experience.
Kind Regards,
Oneplan
Thank you for taking the time to bring this to our attention.
We are sorry to hear of the circumstances under which your Hellopeter posting has reached us and we do apologize for any inconvenience caused. We do take customer feedback seriously to improve our service and process to ensure that we meet our client’s expectations.
Kindly note terms and conditions of the policy must be adhered to and app**** fairly for all clients, please note that this is by no means a ploy to refuse payment of the claim. For a refund to be processed for the day to day benefits we require a detailed invoice reflecting the client’s name. and the proof of payment. We do have your best interests at heart, and we will assist with all we can in line with our terms and conditions.
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 the inconvenience caused and we hope to restore the experience.
Kind Regards,
Oneplan
VR
Ver R's updateReviewer Update
03 Oct 2022, 08:28No, don't you get it, all the info mentioned above is on! An identical claim was accepted and then rejected! What inconsistent policy are you referring to, what fair process are you referring to. You have just contradicted Oneplan from a policy and process perspective! Refund my money immediately.
VR
Ver R's update03 Oct 2022, 08:28
Reviewer Update
No, don't you get it, all the info mentioned above is on! An identical claim was accepted and then rejected! What inconsistent policy are you referring to, what fair process are you referring to. You have just contradicted Oneplan from a policy and process perspective! Refund my money immediately.
Oneplan Insurance's replyOfficial
03 Oct 2022, 08:59Good day Ver Ray,
Thank you for taking our call earlier and for allowing us the opportunity to further discuss the matter at hand.
Kindly note that the previous invoice submitted was a computer-generated invoice and the most recent invoice was handwritten, hence the reason we requested for the proof of payment. This is required for auditing purposes on our side and to prevent *****.
As per our telephonic conversation, we will be in contact with the doctor’s rooms to finalize the claim and will revert to you with the relevant feedback.
Thank you for your patience in the matter.
Kind Regards,
Oneplan
Thank you for taking our call earlier and for allowing us the opportunity to further discuss the matter at hand.
Kindly note that the previous invoice submitted was a computer-generated invoice and the most recent invoice was handwritten, hence the reason we requested for the proof of payment. This is required for auditing purposes on our side and to prevent *****.
As per our telephonic conversation, we will be in contact with the doctor’s rooms to finalize the claim and will revert to you with the relevant feedback.
Thank you for your patience in the matter.
Kind Regards,
Oneplan
Oneplan Insurance's reply03 Oct 2022, 08:59
Official
Good day Ver Ray,
Thank you for taking our call earlier and for allowing us the opportunity to further discuss the matter at hand.
Kindly note that the previous invoice submitted was a computer-generated invoice and the most recent invoice was handwritten, hence the reason we requested for the proof of payment. This is required for auditing purposes on our side and to prevent *****.
As per our telephonic conversation, we will be in contact with the doctor’s rooms to finalize the claim and will revert to you with the relevant feedback.
Thank you for your patience in the matter.
Kind Regards,
Oneplan
Thank you for taking our call earlier and for allowing us the opportunity to further discuss the matter at hand.
Kindly note that the previous invoice submitted was a computer-generated invoice and the most recent invoice was handwritten, hence the reason we requested for the proof of payment. This is required for auditing purposes on our side and to prevent *****.
As per our telephonic conversation, we will be in contact with the doctor’s rooms to finalize the claim and will revert to you with the relevant feedback.
Thank you for your patience in the matter.
Kind Regards,
Oneplan
VR
Ver R's updateReviewer Update
04 Oct 2022, 16:44Thank you Mereshnie for the feedback and going the extra mile to resolve my refund. You are the only reason why I am staying with OnePlan.
VR
Ver R's update04 Oct 2022, 16:44
Reviewer Update
Thank you Mereshnie for the feedback and going the extra mile to resolve my refund. You are the only reason why I am staying with OnePlan.
Oneplan Insurance's replyOfficial
04 Oct 2022, 17:15Good day Ver Ray,
Thank you for providing us with feedback on the matter.
We appreciate the opportunity granted to restore the experience and we are delighted to hear that despite the circumstances Mereshnie has made a lasting impression on you. Our clients are important to us, and we are pleased to hear that you will continue your journey with us. We look forward to a long and fruitful relationship.
Thank you for being a part of the Oneplan Family.
Kind Regards,
Oneplan
Thank you for providing us with feedback on the matter.
We appreciate the opportunity granted to restore the experience and we are delighted to hear that despite the circumstances Mereshnie has made a lasting impression on you. Our clients are important to us, and we are pleased to hear that you will continue your journey with us. We look forward to a long and fruitful relationship.
Thank you for being a part of the Oneplan Family.
Kind Regards,
Oneplan
Oneplan Insurance's reply04 Oct 2022, 17:15
Official
Good day Ver Ray,
Thank you for providing us with feedback on the matter.
We appreciate the opportunity granted to restore the experience and we are delighted to hear that despite the circumstances Mereshnie has made a lasting impression on you. Our clients are important to us, and we are pleased to hear that you will continue your journey with us. We look forward to a long and fruitful relationship.
Thank you for being a part of the Oneplan Family.
Kind Regards,
Oneplan
Thank you for providing us with feedback on the matter.
We appreciate the opportunity granted to restore the experience and we are delighted to hear that despite the circumstances Mereshnie has made a lasting impression on you. Our clients are important to us, and we are pleased to hear that you will continue your journey with us. We look forward to a long and fruitful relationship.
Thank you for being a part of the Oneplan Family.
Kind Regards,
Oneplan