RS
Robbyne S

1 reviews | Active since Oct 2023

04 Oct 2023, 09:27

Policy Exclusions Make The Policy Useless

Brilliant service from the call center. Knowledgeable and helpful but the problem comes when you try to claim for anything other than a simple doctors visit. There are so many exclusions which makes this policy, even the Executive plan useless to anybody who needs medical assistance. Don't rely on the sales pitch when signing up, but read the policy and ask thousands of questions, because there are exclusion which over and above the general exclusions and careful wording which makes it possible for claim rejections and not paying out in full and sometimes not even covering a 3rd of the claim.

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Replies (1)
Oneplan Insurance
Oneplan Insurance's reply04 Oct 2023, 13:05
Official
Hi Robbyne,

Thank you for sharing your service experience with us. Our clients are our number one priority, and we aim to provide them with the best service possible. 
   
Kindly note as medical insurance, our cover or benefits have specific limits applicable and there are annual cover limits on all our cover types. Certain terms and conditions are always applicable and have to be adhered to and app**** fairly for all clients, please note that this is by no means a ploy to refuse payment of the claim. 

We will always have our clients’ best interests at heart as we strive to deliver an exceptional customer experience in all interactions and whilst this is a journey, we are fully committed to achieving this. Oneplan subscribes to its TCF principles and will take all reasonable steps to ensure fair and equal treatment of all our clients. 
We encourage all our clients and potential clients to ensure that they; do understand all products available in the market; and perhaps approach their Financial Advisor for a factual comparison of products as hearsay may cause a consumer to make a decision based on inaccurate information.
  
Should you need further assistance, please feel free to engage with us on our Whatsapp platform at *** as our agents are always on standby ready to assist. or alternatively, you may send a call-me-back request via the Oneplan App and one of our friendly consultants will be in contact with you.
 
Thank you for being a valued member of the Oneplan Family. 

Kind Regards,
Oneplan