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misslaurenmeikle M

1 reviews | Active since May 2017

02 May 2017, 09:53

Paid over R2700 out of my own pocket in an emergency - ONEPLAN REFUSES TO REFUND!

<p>To say I am disgusted to the core would be an understatement. That's why I have cancelled my policy and moved to an actual medical aid who cares. I had an emergency and was rushed to the hospital last Sunday, needed a drip, tons of meds and blood tests. Upon phoning oneplan on the way to the hospital, I was told they won't cover anything "out of hospital." Why on earth have I been such a loyal customer for 6 freaking years? I am fuming. My bills came to over R2700, all of which I have proof of. Sorry, says oneplan. We can't cover this. EXCUSE ME?????????? I have been sending mails upon mails upon mails and am being blatantly ignored by this so called "service provider". Just because I am cancelling does NOT mean I will leave this. I expect my refund in my bank account this month, otherwise I be taking this further. No point putting it on my onecard - you sent it to the wrong address.</p> <p> </p>

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Replies (3)
Oneplan Insurance
Oneplan Insurance's reply02 May 2017, 14:29
Official

Hi Lauren,

Thank you for taking the time to voice your concerns, This is definitely not the type of service we pride ourselves on.

Please note that we have been trying to contact you to assist further but to no avail. Please check your gmail and respond with an alternative number or suitable time that we can contact you on so that we can resolve this as soon as possible.

Kind Regards

OnePlan

mM
misslaurenmeikle M's update02 May 2017, 14:30
Reviewer Update

It is the work week, I am in and out of meetings.. Please call me after 4pm.

Oneplan Insurance
Oneplan Insurance's reply01 Jun 2017, 09:24
Official

Hi Lauren,

We apologise for the delay in service.

Please note that the authorization for the in hospital claim was declined as the event was not deemed as a life threatening event and didn't meet the minimum requirement for hospital admission.

We have since captured the claims under your out of hospital cover and processed a refund to your bank account for the claims, up to their respective cover limits.

Kind Regards

OnePlan