1 reviews | Active since Jun 2021
One Plan shocking service and refusal to release benefits
I cannot believe that other people have such good reviews. We have battled with One Plan since day once. We asked for the trauma benefit, gave them every document they asked including a specialists letter of motivation and they still say ita not enough. Now I'm trying to get an xray claim paid. Omw they won't accept and invoice together with a stamped statement. That's not enough. With the trauma benefit claim and now the xray claim, both requiring me to nag doctors for more paperwork so they can give us our legal benefits, one plan still says no. My gosh, what more do you want? A letter from a specialist and doctor requesting trauma counselling for the exact reasons you say you pay for it is not good enough for you. And now a manually written invoice with stamped and paid on it, that's not good enough. My gosh. Why don't you give us the good service others have as per the reviews on this site? Shocking that you don't pay what's legally required of you. And make it extremely difficult for us to get our legally prescribed benefits or reimbur*****t. Not acceptable. You are robbing those who have virtually no money but need some sort of medical insurance.
Thank you for taking our call earlier and allowing us the opportunity to further discuss the matter at hand.
We sincerely 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.
Records on the system confirm that the initial Trauma and Assault Counselling claim was rejected as the event did not occur within the Borders of South Africa.
Please note that a detailed computerized invoice reflecting the services rendered, including proof of payment and a Doctor's Stamp, is required when claiming for any day-to-day benefits. This is for auditing purposes on our site and to prevent *****, as funds are loaded onto your Onecard within 60 seconds.
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 for all clients. Please note we are governed by the FAIS Act and must apply the TCF (Treat Customers Fairly) policy to ensure all our clients receive fair service and cover.
As discussed, we will be in contact with the Service Provider to obtain the required information and we will revert to you with the relevant feedback.
Once again, we apologize for any inconvenience caused and hope to have provided clarity on the matter and restored the experience.
Kind Regards,
Oneplan
Thank you for taking our call earlier and allowing us the opportunity to further discuss the matter at hand.
We sincerely 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.
Records on the system confirm that the initial Trauma and Assault Counselling claim was rejected as the event did not occur within the Borders of South Africa.
Please note that a detailed computerized invoice reflecting the services rendered, including proof of payment and a Doctor's Stamp, is required when claiming for any day-to-day benefits. This is for auditing purposes on our site and to prevent *****, as funds are loaded onto your Onecard within 60 seconds.
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 for all clients. Please note we are governed by the FAIS Act and must apply the TCF (Treat Customers Fairly) policy to ensure all our clients receive fair service and cover.
As discussed, we will be in contact with the Service Provider to obtain the required information and we will revert to you with the relevant feedback.
Once again, we apologize for any inconvenience caused and hope to have provided clarity on the matter and restored the experience.
Kind Regards,
Oneplan