1 reviews | Active since Nov 2016
Terrible customer service
<p>I have a claim that has been going on since July 2016 even now is not been paid. My Dr called them and they have asked him to send them some information that they needed , he did so and after theyes told him that I don't have funds .i called them to understand why are they saying I don't have funds only to find out my profile was not updated according to the new schedule for 2016.</p> <p>They said to me they will update my profile and come back to me and they never did that .I called again and they promised to pay up my claim ,they never did and no one call me to Tell me that wouldn't pay the claim and why until called them after 2 weeks.today I called them again and I spoke to the manager and she told me my claim was rejected in September 2016 due to my invoice was not fully detailed and she will send me an email stipulating everything they need from the Dr ,which was provided to them before but not updated on my profile .</p> <p> </p> <p>They always promise to call but the never do so.</p> <p> </p> <p>They have increased my monthly premium and I haven't received my new schedule for 2016 and I have been calling them to send me my new schedule which I didn't receive even now .</p> <p> </p> <p>Poor customer service from oneplan health insurance.</p> <p> </p>
Hi Maria,
Thank you for taking the time to bring this to our attention and for allowing us an opportunity to resolve this matter.
We apologise that this was not initially resolved and that the incorrect information was provided to you. The initial authorisation was not declined, however further treatment for the procedure was not authorised. When it came to our attention that the cirrhosis was caused by a medical condition the further treatment was approved and a letter of apology has been sent to you.
We will investigate what caused the delay in this and please rest assured that we will ensure that the necessary actions are put in place to ensure that something of this nature does not happen again.
We will continue to be in contact with you to ensure that this matter is resolved.
Kind Regards
OnePlan
Hi Maria,
Thank you for taking the time to bring this to our attention and for allowing us an opportunity to resolve this matter.
We apologise that this was not initially resolved and that the incorrect information was provided to you. The initial authorisation was not declined, however further treatment for the procedure was not authorised. When it came to our attention that the cirrhosis was caused by a medical condition the further treatment was approved and a letter of apology has been sent to you.
We will investigate what caused the delay in this and please rest assured that we will ensure that the necessary actions are put in place to ensure that something of this nature does not happen again.
We will continue to be in contact with you to ensure that this matter is resolved.
Kind Regards
OnePlan
