KM
Karabo M
1 reviews | Active since Nov 2022
23 Jul 2024, 20:31
Now that we approaching the year end, one plan insurance has been very problematic towards my claims
Now that we approaching the year end, one plan insurance has been very problematic towards my claims. I went to a Dentist, and they know very well that not all Doctors have a printed statement and suddenly now this becomes a requirement which is something they never discussed at the beginning, all they needed was an invoice with the Dr’s name and practice number to confirm that indeed this doctor specialises in such and that’s what I’ve been giving them unless I went to a Doctor that has a printed statement. The invoice I provided has the Dentist’s details , they can simple call and confirm every but no instead they rejecting my claim whereas everything they need it is on the Dentist’s stamp. I’m very unhappy with their service lately
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Replies (1)
Oneplan Insurance's replyOfficial
24 Jul 2024, 09:28Dear Karabo,
Thank you for taking our call earlier and allowing us the opportunity to further discuss the matter at hand.
We sincerely apologize for the inconvenience caused and the circumstances under which your Hellopeter posting has reached us. We do take customer feedback seriously to improve our service and processes to ensure that we meet our client’s expectations as we do value you as our client.
As per our telephonic conversation, kindly note that we require a detailed statement in order to finalize the Dentistry claim as we no longer accept handwritten invoices due to *****.
Records on our system confirm that a Dentistry claim was loaded, and the funds were withdrawn from an ATM. Kindly note for any payments that are made with cash where the funds are withdrawn and not paid directly using the Onecard we would require proof of payment together with the detailed statement/invoice.
Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. The terms and conditions of the policy must be adhered to and app**** fairly to all clients. We do have your 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.
Thank you for taking our call earlier and allowing us the opportunity to further discuss the matter at hand.
We sincerely apologize for the inconvenience caused and the circumstances under which your Hellopeter posting has reached us. We do take customer feedback seriously to improve our service and processes to ensure that we meet our client’s expectations as we do value you as our client.
As per our telephonic conversation, kindly note that we require a detailed statement in order to finalize the Dentistry claim as we no longer accept handwritten invoices due to *****.
Records on our system confirm that a Dentistry claim was loaded, and the funds were withdrawn from an ATM. Kindly note for any payments that are made with cash where the funds are withdrawn and not paid directly using the Onecard we would require proof of payment together with the detailed statement/invoice.
Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. The terms and conditions of the policy must be adhered to and app**** fairly to all clients. We do have your 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.
Kindly note that we will reach out to the service provider to obtain the required information and will revert to you with the relevant feedback.
Once again, we apologize for the inconvenience caused and we hope to have restored the experience.
Kind Regards,
Oneplan
Once again, we apologize for the inconvenience caused and we hope to have restored the experience.
Kind Regards,
Oneplan
Oneplan Insurance's reply24 Jul 2024, 09:28
Official
Dear Karabo,
Thank you for taking our call earlier and allowing us the opportunity to further discuss the matter at hand.
We sincerely apologize for the inconvenience caused and the circumstances under which your Hellopeter posting has reached us. We do take customer feedback seriously to improve our service and processes to ensure that we meet our client’s expectations as we do value you as our client.
As per our telephonic conversation, kindly note that we require a detailed statement in order to finalize the Dentistry claim as we no longer accept handwritten invoices due to *****.
Records on our system confirm that a Dentistry claim was loaded, and the funds were withdrawn from an ATM. Kindly note for any payments that are made with cash where the funds are withdrawn and not paid directly using the Onecard we would require proof of payment together with the detailed statement/invoice.
Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. The terms and conditions of the policy must be adhered to and app**** fairly to all clients. We do have your 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.
Thank you for taking our call earlier and allowing us the opportunity to further discuss the matter at hand.
We sincerely apologize for the inconvenience caused and the circumstances under which your Hellopeter posting has reached us. We do take customer feedback seriously to improve our service and processes to ensure that we meet our client’s expectations as we do value you as our client.
As per our telephonic conversation, kindly note that we require a detailed statement in order to finalize the Dentistry claim as we no longer accept handwritten invoices due to *****.
Records on our system confirm that a Dentistry claim was loaded, and the funds were withdrawn from an ATM. Kindly note for any payments that are made with cash where the funds are withdrawn and not paid directly using the Onecard we would require proof of payment together with the detailed statement/invoice.
Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. The terms and conditions of the policy must be adhered to and app**** fairly to all clients. We do have your 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.
Kindly note that we will reach out to the service provider to obtain the required information and will revert to you with the relevant feedback.
Once again, we apologize for the inconvenience caused and we hope to have restored the experience.
Kind Regards,
Oneplan
Once again, we apologize for the inconvenience caused and we hope to have restored the experience.
Kind Regards,
Oneplan