MS
Mpho S
1 reviews | Active since Apr 2022
11 Apr 2022, 18:59
Rejected claim
Oneplan medical insurance did not work for me...I canceled the insurance 2 weeks back...I was with the medical insurance for 4 years...I called for emegency but my claim was rejected they said it was not an emegeny. My daughter was sick on 20th of March it was on a Sunday and I called an ambulance..but I paid the bill. The insurance said it was not an emegency
Helpful (0)
Replies (1)0
Replies (1)
Oneplan Insurance's replyOfficial
11 Apr 2022, 23:22Hi Mpho,
Thank you for taking the time to bring this to our attention.
We would like to offer our sincerest apologies for any inconvenience caused. We do have your daughter's best interest at heart and wish that she is having a speedy recovery. We do take customer feedback seriously to improve our service and process to ensure that we meet our client’s expectations.
Thank you for taking the time to bring this to our attention.
We would like to offer our sincerest apologies for any inconvenience caused. We do have your daughter's best interest at heart and wish that she is having a speedy recovery. We do take customer feedback seriously to improve our service and process to ensure that we meet our client’s expectations.
Kindly note that the ambulance services is only applicable if the incident is deemed as an emergency based on the ambulance report. Records on our system reflect that the ambulance was already at the premises on the day of the incident and the process was explained, however due to the ambulance report confirming that the incident was non-emergency, unfortunately the client will be liable for the costs.
Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. Please note that this is by no means a ploy to refuse payment of the claim, and we will assist with all we can in line with our terms and conditions. Oneplan subscribes to its TCF principles and will take all reasonable steps to ensure fair and equal treatment of all our clients.
We have acknowledged your complaint and we have escalated the matter to the relevant department. One of our consultants will be in contact with you to further discuss the matter at hand.
Once again, we apologize for any inconvenience caused.
Kind Regards,
Oneplan
Oneplan Insurance's reply11 Apr 2022, 23:22
Official
Hi Mpho,
Thank you for taking the time to bring this to our attention.
We would like to offer our sincerest apologies for any inconvenience caused. We do have your daughter's best interest at heart and wish that she is having a speedy recovery. We do take customer feedback seriously to improve our service and process to ensure that we meet our client’s expectations.
Thank you for taking the time to bring this to our attention.
We would like to offer our sincerest apologies for any inconvenience caused. We do have your daughter's best interest at heart and wish that she is having a speedy recovery. We do take customer feedback seriously to improve our service and process to ensure that we meet our client’s expectations.
Kindly note that the ambulance services is only applicable if the incident is deemed as an emergency based on the ambulance report. Records on our system reflect that the ambulance was already at the premises on the day of the incident and the process was explained, however due to the ambulance report confirming that the incident was non-emergency, unfortunately the client will be liable for the costs.
Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. Please note that this is by no means a ploy to refuse payment of the claim, and we will assist with all we can in line with our terms and conditions. Oneplan subscribes to its TCF principles and will take all reasonable steps to ensure fair and equal treatment of all our clients.
We have acknowledged your complaint and we have escalated the matter to the relevant department. One of our consultants will be in contact with you to further discuss the matter at hand.
Once again, we apologize for any inconvenience caused.
Kind Regards,
Oneplan