MC
Mike C
1 reviews | Active since May 2015
21 Mar 2025, 14:05
OnePlan insurance sucks!
OnePlan has got to be the WORST medical insurance in South Africa! I have been with them for at least 12 years and pay about R40 000 every year for myself and my partner. Recently I have been to a few consults with a certain Doctor and their card machine is faulty, not printing a clear receipt so I make sure they indicate PAID on the statement yet One Plan refuses to reimburse me for a R580 consultation. Here I am paying R40 000 a year but they're rejecting a R580 claim based on a faulty machine which is no fault of mine! Well done OnePlan, you just stole another R580 from me.
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Replies (2)
Oneplan Insurance's replyOfficial
21 Mar 2025, 16:49Dear Mike,
Thank you for bringing this matter to our attention.
We apologize for the circumstances surrounding your Hellopeter posting and the inconvenience caused. Please be assured that we take customer feedback seriously and use it to continually improve our services and processes to ensure we meet our clients' expectations. Your satisfaction is important to us, and we value your business.
Upon reviewing your complaint, we would like to clarify that in order for refund claims to be processed, a valid detailed invoice has to be submitted along with proof of payment. Please note that this is by no means a ploy to refuse payment of the claim, however, is required for auditing purposes on our side.
Oneplan subscribes to its TCF principles and will take all reasonable steps to ensure fair and equal treatment of all our clients.
We again apologize for any inconvenience caused and look forward to resolving the matter to restore your experience with our services.
Kind regards,
Oneplan.
Thank you for bringing this matter to our attention.
We apologize for the circumstances surrounding your Hellopeter posting and the inconvenience caused. Please be assured that we take customer feedback seriously and use it to continually improve our services and processes to ensure we meet our clients' expectations. Your satisfaction is important to us, and we value your business.
Upon reviewing your complaint, we would like to clarify that in order for refund claims to be processed, a valid detailed invoice has to be submitted along with proof of payment. Please note that this is by no means a ploy to refuse payment of the claim, however, is required for auditing purposes on our side.
Oneplan subscribes to its TCF principles and will take all reasonable steps to ensure fair and equal treatment of all our clients.
We again apologize for any inconvenience caused and look forward to resolving the matter to restore your experience with our services.
Kind regards,
Oneplan.
Oneplan Insurance's reply21 Mar 2025, 16:49
Official
Dear Mike,
Thank you for bringing this matter to our attention.
We apologize for the circumstances surrounding your Hellopeter posting and the inconvenience caused. Please be assured that we take customer feedback seriously and use it to continually improve our services and processes to ensure we meet our clients' expectations. Your satisfaction is important to us, and we value your business.
Upon reviewing your complaint, we would like to clarify that in order for refund claims to be processed, a valid detailed invoice has to be submitted along with proof of payment. Please note that this is by no means a ploy to refuse payment of the claim, however, is required for auditing purposes on our side.
Oneplan subscribes to its TCF principles and will take all reasonable steps to ensure fair and equal treatment of all our clients.
We again apologize for any inconvenience caused and look forward to resolving the matter to restore your experience with our services.
Kind regards,
Oneplan.
Thank you for bringing this matter to our attention.
We apologize for the circumstances surrounding your Hellopeter posting and the inconvenience caused. Please be assured that we take customer feedback seriously and use it to continually improve our services and processes to ensure we meet our clients' expectations. Your satisfaction is important to us, and we value your business.
Upon reviewing your complaint, we would like to clarify that in order for refund claims to be processed, a valid detailed invoice has to be submitted along with proof of payment. Please note that this is by no means a ploy to refuse payment of the claim, however, is required for auditing purposes on our side.
Oneplan subscribes to its TCF principles and will take all reasonable steps to ensure fair and equal treatment of all our clients.
We again apologize for any inconvenience caused and look forward to resolving the matter to restore your experience with our services.
Kind regards,
Oneplan.
MC
Mike C's updateReviewer Update
21 Mar 2025, 16:59I paid for the consult but the Value Health office has a faulty card machine so it printed a ***** receipt. I made sure that they indicated PAID on my statement which I submitted together with the proof of payment. OnePlan is still refusing to reimburse me so what exactly am I meant to do? Would you like me to buy them a new card machine and go back and pay again just to get you a clear receipt? ***?
MC
Mike C's update21 Mar 2025, 16:59
Reviewer Update
I paid for the consult but the Value Health office has a faulty card machine so it printed a ***** receipt. I made sure that they indicated PAID on my statement which I submitted together with the proof of payment. OnePlan is still refusing to reimburse me so what exactly am I meant to do? Would you like me to buy them a new card machine and go back and pay again just to get you a clear receipt? ***?