1 reviews | Active since Nov 2016
NOT ON
I understand that i am a new customer, but the service i have received regarding a claim has been crazy. I made a claim for R330 to go and see my doctor for an injection. Okay claim was rejected which is fine. I Received a message the the funds have be reversed and if i like i can reload. So i paid my consultation cash to insure that i am not behind on payments. Today i received a call from some one at the call center insisting that i have to pay the R330 into their account. WHY....... If it has been rejected and the claim has been reversed why should i then make a payment.
This is not on. unfortunately i am only able to cancel my policy in August 2019 which i will definitely do. It so sad that vulnerable people get taking advantage of.
I would not recommend anyone to go with this Insurer. I will rather not have any kind of medical insurance.
Please accept our sincerest apologies for what has transpired regarding your claim.
After further analysis of your policy, we have come across that funds were successfully swiped at a service provider. The reason behind why your GP claim has been rejected is because funds were used to pay for services rendered by a nurse and not a registered general practitioner.
As funds were used incorrectly, you will be liable to pay back the amount used on that day.
Kindly note that your Onecard transactional statement, non premium statement and policy wording has been sent via email.
Please refer to Appendix A on our policy wording regarding medical practitioners not covered.
Kind regards
The Oneplan Team
Please accept our sincerest apologies for what has transpired regarding your claim.
After further analysis of your policy, we have come across that funds were successfully swiped at a service provider. The reason behind why your GP claim has been rejected is because funds were used to pay for services rendered by a nurse and not a registered general practitioner.
As funds were used incorrectly, you will be liable to pay back the amount used on that day.
Kindly note that your Onecard transactional statement, non premium statement and policy wording has been sent via email.
Please refer to Appendix A on our policy wording regarding medical practitioners not covered.
Kind regards
The Oneplan Team