TK
Tamara K

1 reviews | Active since Jun 2017

10 Aug 2022, 12:44

Oneplan is a disgrace

Before I joined I told them my dog had a problem where the plaque on his teeth causes an autoimmune response and his teeth would need removal. They rep**** that after the waiting period they could help. This was 2 years ago. My dogs teeth needed removal now for this reason. They are refusing to pay surgery costs because teeth extraction falls under their teeth procedures are not covered under the in hospital section. Conveniently lie to me to get me to sign up and then hide behind a clause when it comes to paying. My other dog needed admission for a severe allergic reaction and they refused to pay for her admission too. Pathetic. You think you're covered cause that's what they tell you but they lie to you. I'm utterly disgusted but I guess its typical insurance

0
Replies (1)
Oneplan Insurance
Oneplan Insurance's reply10 Aug 2022, 13:25
Official
Good day Tamara,

Thank you for taking the time to bring this to our attention. 

We sincerely apologize for the circumstances under which your Hellopeter posting has reached us, and we 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 that Dental extractions for your fur-baby is covered under the Casualty benefit up to the cover limit of R1300 per a Casualty benefit claim and your fur-baby has 4 Casualty Benefit claims per a year. Dental scaling and polishing are covered under the Pet Med Savings Benefit up to the cover limit of R750. These are a few of the many benefits and cover limits that our Pet Plans have to offer as the Pet Med Savings and Casualty benefit is a day-to-day benefit as the Classic Plan has day-to-day and In-hospital benefits. 

As per our policy terms and conditions, Dentistry or treatment related to teeth / procedures are not covered under the in-hospital benefit and is excluded from the policy. Regrettably, the dental disease benefit is one of our In-hospital general exclusions and will only be covered under the day-to-day Casualty benefit.

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. We do have your fur-babies 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. 
 
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 any inconvenience caused.

Kind Regards,
Oneplan