MC
Miskha C
1 reviews | Active since Jul 2015
14 Jul 2015, 10:29
Only available when.they want your money
I submitted a claim for medication with the till slip (proof of purchase) and at first i had an outstanding claim of R81.00 that i needed to pay.... Now they added R50 admin fees. Without contacting main member. I have sent a cancellation request email a week ago and was told an agent would contact me in 2/3 days. It has been a week and still no contact. I have sent plenty emails and no reply except that i still have an outstanding claim sms.
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Oneplan Insurance's replyOfficial
14 Jul 2015, 12:38Hello Mishie18,
Thank you for bringing the above to our attention.
As per our telephonic discussion, the claim submitted is for a script issued to you before the commencement of your oneplan policy and therefore will not be covered.
Please note that as per our terms and conditions:
1.4.2.5. Claims resubmitted after the waiting period will not be entertained.
1.4.2.11. In the event that a valid receiptaccount has not been received within four weeks for funds utilised via the onecard, the funds will be recovered from the insured's nominated bank account. The Health cover will remain suspended until such time as the funds are recovered.
1.4.2.12. Invalid Health Cover claims will carry an administration fee of R50.00 (Fifty Rand).
1.4.2.14. For auditing purposes a valid receiptaccount may be requested for onecard transactions.
With regards to your cancellation, we have received your request and cancelled your policy as per our terms and conditions.
Trust that you will find the above in order.
Kind Regards,
Shanice Maistry
Customer Care Department
Thank you for bringing the above to our attention.
As per our telephonic discussion, the claim submitted is for a script issued to you before the commencement of your oneplan policy and therefore will not be covered.
Please note that as per our terms and conditions:
1.4.2.5. Claims resubmitted after the waiting period will not be entertained.
1.4.2.11. In the event that a valid receiptaccount has not been received within four weeks for funds utilised via the onecard, the funds will be recovered from the insured's nominated bank account. The Health cover will remain suspended until such time as the funds are recovered.
1.4.2.12. Invalid Health Cover claims will carry an administration fee of R50.00 (Fifty Rand).
1.4.2.14. For auditing purposes a valid receiptaccount may be requested for onecard transactions.
With regards to your cancellation, we have received your request and cancelled your policy as per our terms and conditions.
Trust that you will find the above in order.
Kind Regards,
Shanice Maistry
Customer Care Department
Oneplan Insurance's reply14 Jul 2015, 12:38
Official
Hello Mishie18,
Thank you for bringing the above to our attention.
As per our telephonic discussion, the claim submitted is for a script issued to you before the commencement of your oneplan policy and therefore will not be covered.
Please note that as per our terms and conditions:
1.4.2.5. Claims resubmitted after the waiting period will not be entertained.
1.4.2.11. In the event that a valid receiptaccount has not been received within four weeks for funds utilised via the onecard, the funds will be recovered from the insured's nominated bank account. The Health cover will remain suspended until such time as the funds are recovered.
1.4.2.12. Invalid Health Cover claims will carry an administration fee of R50.00 (Fifty Rand).
1.4.2.14. For auditing purposes a valid receiptaccount may be requested for onecard transactions.
With regards to your cancellation, we have received your request and cancelled your policy as per our terms and conditions.
Trust that you will find the above in order.
Kind Regards,
Shanice Maistry
Customer Care Department
Thank you for bringing the above to our attention.
As per our telephonic discussion, the claim submitted is for a script issued to you before the commencement of your oneplan policy and therefore will not be covered.
Please note that as per our terms and conditions:
1.4.2.5. Claims resubmitted after the waiting period will not be entertained.
1.4.2.11. In the event that a valid receiptaccount has not been received within four weeks for funds utilised via the onecard, the funds will be recovered from the insured's nominated bank account. The Health cover will remain suspended until such time as the funds are recovered.
1.4.2.12. Invalid Health Cover claims will carry an administration fee of R50.00 (Fifty Rand).
1.4.2.14. For auditing purposes a valid receiptaccount may be requested for onecard transactions.
With regards to your cancellation, we have received your request and cancelled your policy as per our terms and conditions.
Trust that you will find the above in order.
Kind Regards,
Shanice Maistry
Customer Care Department