1 reviews | Active since Jan 2011
Oneplan Limits don't cover cost in hospital !!
On the 6th of August 2020 I was admitted as an emergency to hospital with Congestive Heart Failure. I was in ICU for 6 days and finally was stable enough to be released on the morning of the 14 August 2020. On my online profile and when we took ok the policy many years ago, we asked and were told that the "Illness in Hospital'' cover was R 175000.00. Now i am told that Oneplan only pay R70,000.00 per event in Hospital. This is not what we signed up for. I would never sign up fo a policy that only covers R70K per event as this amount would only cover a broken ankle or similar. I now sit with a bill of approx: R50,000.00 to pay, and do not have.
With all the additional expenses of Oxygen and medication that I must now be on, there is no way I can even work more hours to make extra to arrange a payment scheme with the hospital and doctors.
I called Oneplan to ask if the would consider an Ex-Gratia payment to assist me, and the consultant I spoke to in the Hospital admissions dept. said NO. Not saying she will take it to her superiors or any other comment.
If the limit for Illness in Hospital is so low, then Oneplan is not the right health insurance to be with.
I am very disappointed as this is the first time I have ever had a major claim in all the years as a member.
I hope this complaint does not fall on deaf ears
Thank you for taking time out to elaborate on your query, and we are truly empathetic on your current health status.
In keeping with our treating customers fairly, we would like the opportunity to investigate this matter thoroughly and establish professional and mutual grounds. Regrettably we are not at liberty to discuss in-depth on public platforms but would like the opportunity to schedule a conversation between yourself and the relevant department for an urgent comprehensive intervention. A document containing medical records has been requested to facilitate review for final funding decision with our underwriters, this is key as it will allow our clinical team to apply the terms and conditions of the contract Oneplan Health insurance has with yourself.
Kind Regards
Oneplan
Thank you for taking time out to elaborate on your query, and we are truly empathetic on your current health status.
In keeping with our treating customers fairly, we would like the opportunity to investigate this matter thoroughly and establish professional and mutual grounds. Regrettably we are not at liberty to discuss in-depth on public platforms but would like the opportunity to schedule a conversation between yourself and the relevant department for an urgent comprehensive intervention. A document containing medical records has been requested to facilitate review for final funding decision with our underwriters, this is key as it will allow our clinical team to apply the terms and conditions of the contract Oneplan Health insurance has with yourself.
Kind Regards
Oneplan
