LG
Lydia G
1 reviews | Active since Dec 2017
03 Jun 2024, 08:36
OTC claim rejected
One plan approved an OTC claim and now they say I must pay, never communicated the OTC is only once off called the customer care and I am told sorry for the inconvenience but you need to pay
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Oneplan Insurance's replyOfficial
03 Jun 2024, 18:00Dear Lydia,
Thank you for taking our call earlier and allowing us the opportunity to further discuss the matter at hand.
We are sorry to hear of 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.
According to our policy terms and conditions kindly note that the Over the Counter Medication benefit (OTC), is a benefit that was added to our health insurance plans to assist clients in purchasing medication at a pharmacy without a prescription and provides each insured member with one OTC claim per a cycle which is covered up to the respective cover limit depending on the plan type. You may claim for all OTC events up to the stated limit every twelve (12) month cycle from inception of the policy, for each insured person. This cover forms part of your Health annual limit and differs from the scripted medication benefit.
Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. We will assist with all we can in line with our terms and conditions. Terms and conditions of the policy must be adhered to and app**** fairly for all clients. Oneplan subscribes to its TCF principles and will take all reasonable steps to ensure fair and equal treatment of all our clients.
As per our telephonic discussion, we will revert to you with the relevant feedback.
Once again, we apologize for any inconvenience caused.
Kind Regards,
Oneplan
Thank you for taking our call earlier and allowing us the opportunity to further discuss the matter at hand.
We are sorry to hear of 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.
According to our policy terms and conditions kindly note that the Over the Counter Medication benefit (OTC), is a benefit that was added to our health insurance plans to assist clients in purchasing medication at a pharmacy without a prescription and provides each insured member with one OTC claim per a cycle which is covered up to the respective cover limit depending on the plan type. You may claim for all OTC events up to the stated limit every twelve (12) month cycle from inception of the policy, for each insured person. This cover forms part of your Health annual limit and differs from the scripted medication benefit.
Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. We will assist with all we can in line with our terms and conditions. Terms and conditions of the policy must be adhered to and app**** fairly for all clients. Oneplan subscribes to its TCF principles and will take all reasonable steps to ensure fair and equal treatment of all our clients.
As per our telephonic discussion, we will revert to you with the relevant feedback.
Once again, we apologize for any inconvenience caused.
Kind Regards,
Oneplan
Oneplan Insurance's reply03 Jun 2024, 18:00
Official
Dear Lydia,
Thank you for taking our call earlier and allowing us the opportunity to further discuss the matter at hand.
We are sorry to hear of 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.
According to our policy terms and conditions kindly note that the Over the Counter Medication benefit (OTC), is a benefit that was added to our health insurance plans to assist clients in purchasing medication at a pharmacy without a prescription and provides each insured member with one OTC claim per a cycle which is covered up to the respective cover limit depending on the plan type. You may claim for all OTC events up to the stated limit every twelve (12) month cycle from inception of the policy, for each insured person. This cover forms part of your Health annual limit and differs from the scripted medication benefit.
Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. We will assist with all we can in line with our terms and conditions. Terms and conditions of the policy must be adhered to and app**** fairly for all clients. Oneplan subscribes to its TCF principles and will take all reasonable steps to ensure fair and equal treatment of all our clients.
As per our telephonic discussion, we will revert to you with the relevant feedback.
Once again, we apologize for any inconvenience caused.
Kind Regards,
Oneplan
Thank you for taking our call earlier and allowing us the opportunity to further discuss the matter at hand.
We are sorry to hear of 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.
According to our policy terms and conditions kindly note that the Over the Counter Medication benefit (OTC), is a benefit that was added to our health insurance plans to assist clients in purchasing medication at a pharmacy without a prescription and provides each insured member with one OTC claim per a cycle which is covered up to the respective cover limit depending on the plan type. You may claim for all OTC events up to the stated limit every twelve (12) month cycle from inception of the policy, for each insured person. This cover forms part of your Health annual limit and differs from the scripted medication benefit.
Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. We will assist with all we can in line with our terms and conditions. Terms and conditions of the policy must be adhered to and app**** fairly for all clients. Oneplan subscribes to its TCF principles and will take all reasonable steps to ensure fair and equal treatment of all our clients.
As per our telephonic discussion, we will revert to you with the relevant feedback.
Once again, we apologize for any inconvenience caused.
Kind Regards,
Oneplan