1 reviews | Active since Oct 2014
Service went down and issues with claims.
I never had issues with OnePlan before but recently they query everything. The monthly contributions goes up and it just gets more difficult to claim. I understand that it's not a medical aid but to get all the information that they need before they pay is insane. I am with OnePlan for 6 years already and never had issues where they asked you for your eye readings prescription before they accept your claim. The co payment that I have to make is 3x the amount OnePlan covers. I can't see at night and struggling to drive and they question the eye readings. This is insane. This is now the 4th time I have to go back to Specsavers and ask them for other invoices which shows my eye readings. Not happy with the service recently.
Thank you for bringing this matter to our attention.
We acknowledge receipt of your complaint and note your dissatisfaction. However, we must clarify that for Optometry claims to be processed, a detailed invoice reflecting the eye test readings is mandatory in line with our claims process.
Please note that under the Special Conditions of the Optometry benefit, it is clearly stated: “Lenses will be covered when medically necessary, based on the results of refraction and visual acuity tests. Anti-glare coating is included in this benefit.” This requirement underscores the necessity of submitting the eye test readings in order for the claim to be assessed.
Once the required documentation has been obtained, you may submit it via WhatsApp to *** or email it to ***, quoting your policy number in the subject line. Upon receipt, our team will review the submission and provide formal feedback.
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. Oneplan subscribes to its TCF principles and will take all reasonable steps to ensure fair and equal treatment of all our clients.
We trust the above clarifies the position and await the required documents to proceed with the assessment of your claim.
Kind regards,
Oneplan.
Thank you for bringing this matter to our attention.
We acknowledge receipt of your complaint and note your dissatisfaction. However, we must clarify that for Optometry claims to be processed, a detailed invoice reflecting the eye test readings is mandatory in line with our claims process.
Please note that under the Special Conditions of the Optometry benefit, it is clearly stated: “Lenses will be covered when medically necessary, based on the results of refraction and visual acuity tests. Anti-glare coating is included in this benefit.” This requirement underscores the necessity of submitting the eye test readings in order for the claim to be assessed.
Once the required documentation has been obtained, you may submit it via WhatsApp to *** or email it to ***, quoting your policy number in the subject line. Upon receipt, our team will review the submission and provide formal feedback.
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. Oneplan subscribes to its TCF principles and will take all reasonable steps to ensure fair and equal treatment of all our clients.
We trust the above clarifies the position and await the required documents to proceed with the assessment of your claim.
Kind regards,
Oneplan.