JK
Jabulile K

1 reviews | Active since May 2018

21 May 2018, 19:57

Stupid ******** Company

This is the worst medical insurance ever. *********** and s**** less consultants. I have a mother lying in ICU that cannot breathe at Rand Clinic. She has been in hospital since the 9th due to a heart failure and ling infection. She cannot breathe and only now we are told that she has reached her limit and should be shipped out to a state hospital. Now only they advise the she is covered for a certain limit and they only cover 3 chronic conditions and severe illness to a certain amount - limited to i don't know how many ridiculous events. so is she supposed to die cause you won't authorize a once off amount rather than using it in different events?.. She is in debt because of the stupid companies ignorance. you too people off and then you do not assist with nothing. From the time she was admitted she had to pay cash for pathology tests and xray's. Now she must go due like a dog after been with One plan for 4years and hardly used the stupid thing and now that they have invested her monthly premium and made a ****ing off it, they cannot afford to pay the for her hospital stay. why can you not limit it to a event. If someone is admitted to ICU, what are the chances they will use R50k.... ???...

DO NOT JOIN THIS ONE PLAN ****... YOU PAY FOR YOUR ROAD TO BEIMG INDEBTED... CLAIMING WOTH THEM IS ALWYS A MISSION...

ALL THEIR *********** STAFF CAN SAY IS MOVE YOUR MOM TO A STATE HOSPITAL.. BUT WHEN THIS WAS SOLD IT WAS WE WILL COVER YOU.....

THEY SAY IF YOU ARE HOSPITALIZED AGAIN FOR THE SAME CONDITION- NO COVER... SO AFTER BEING *****ED UP ONCE WOULD YOU STILL KEEP THE STUPID POLICY???THEY KNOW THAT YOU WILL DEFINITELY CANCEL COVER AND THERE WILL BE NO SECOND TIME...

YOU DESERVE TO BE CLOSED DOWN.. PEOPLE WPRK HARD TO PAY FOR THIS STUPID COVER AND ONLY TO FIND THAT THEY ARE *****ED OVER..

0
Replies (6)
JK
Jabulile K's update21 May 2018, 20:03
Reviewer Update
Next route is Ombudsmen for misrepresentation.. NVR should be contacted too and I do not see any TCF in this...
JK
Jabulile K's update22 May 2018, 07:20
Reviewer Update
[Ticket# ********** ********** 25] ********** 20
Oneplan Insurance
Oneplan Insurance's reply22 May 2018, 08:18
Official

Hi Jabulile,

We are truly sorry to hear about the service you received and for your experience with us.

In order to resolve this, may you kindly send us a private message with the policy or ID number so that we can have a look into your policy. Unfortunately Hello Peter omits numbers sent on the post and we are thus unable to view the ticket reference number.

You may send the requested information through to *** and state that your query is regarding the Hello Peter complaint, we will then revert back to you shortly.

Regards,

The Oneplan Team

JK
Jabulile K's update22 May 2018, 09:55
Reviewer Update
Good day, I'm appalled at the stupid service received and the entire process followed once you have problems and all you can say is move your mother to a state hospital or be liable for costs incurred after you depleted your 52k.. My mother cannot breathe and is was in ICU from the 19th till 2days ago she was moved cause funds were depleted. I came to your offices on Friday and all I received was a thumb sucked answer. Netcare is kicking her out and last night I called once again and was told sorry for you but move her as we will not pay. I'm told we cover multiple that we cover up to 50k and in the event that you deplete it sorry for you and we do not cover the same condition again and under severe illness there is 3 conditions covered and sorry for your mother heart failure is not one of them. Why can she not be covered and told that she has no more cover after this because what are the odds she will come back after such nonsense and she cannot further in debt herself. she owes NetWare and upon taking up cover, she was told we will cover you. and from the time she was admitted it has been a hassle from pathology that we had to pay to xray's. You are bunch if croaks.. .. If she dies while being moved today - who can we sue??.... All you want is money but when the pay out process comes - you are quick to reject and not pay. she has been with One plan for almost 3years and when she needed it I'm at most she is given the run around and made to die. Policy advices that you are insure up to R130 000 per year so why not utilize that under ex gratia payments and let her not have cover for the rest of the year... She has dread disease cover and still cannot be covered under it as we do not cover other illnesses expect the 3 core ones. In taking this to the ombudsman and it's misrepresentation of information not aligned to the TCF regulation of what you pretend to operate under. You guys need to be exposed. How can you be HOSPITALIZED in a private hospital pay less than R52k especially in ICU.. your consultants are *********** and rude. Clearly is aligned to your business ethics too. Regards, Jabulile - **********
JK
Jabulile K's update22 May 2018, 10:02
Reviewer Update
All you can say is email mail us. look at my email. I have also escalated it to your complaints department. You guys need to be exposed ,for the ****** that you are. why can cover for the event be covered up to R130k as per your policy advertising and then know that with the next event she has no cover.. What are the odds she will come back after this or will she survive to go through this nonsense again??... Will you pay out under the death benefit or are there certain conditions or postures that you do not pay for?.. CLARIFY IT NOW...
JK
Jabulile K's update22 May 2018, 11:30
Reviewer Update
still being called by *********** consultants.. This company is a joke.. Get a senior to call me.. DON'T want uns****ed and rude consultants calling me. She must die and come back to utilize the rest of R130k....