1 reviews | Active since May 2017
this is a no use to have medical insurance
i have a 1 plan policy for my parents which is hardly ever used! but when you do claim my goodness its easier to get water in a dessert than claim from them. this is not my first encounter with these bunch of clowns. people need to read that they go against every single advert of theirs. what a lie advertising! they have a online person that you can chat to mapaseka to make things easier who is more *********** but not more *********** than the product! xrays were paid for all they need to do is refund the money, which was supposed to take 5 days, now my invoice has been "lost" i have provided an invoice with when the card was swiped after i loaded a claim, now the invoice does not state the type of medication dispensed so this was rejected what a joke! then we paid for xrays cash but they cannot refund the R365 that was paid because i dont have an invoice with the type of medication that was dispensed and this policy is for 2 pensioners who they expect to run around for a flipping invoice????????????
Hi Samantha,
We would like to profusely apologize for the inconvenience caused. We have acknowledged your complaint and we are dealing with it accordingly.
As per your discussion with Irene, your claim query is in the process of being resolved.
In terms of your outstanding claims, we do require a detailed invoice to ensure that the funds that were utilized, are for the procedures/ medication that was prescribed by the GP. This is required for auditing purposes on our side. We do apply a TCF culture, therefore we would need medical proof for the medication purchased at the GP as well as the consultation fee stated on the invoice (as this is a requirement stated in our Policy Wording, Section 2.1.3.3). We believe in treating all of our clients fairly.
We thank you for your patience in the matter and we hope that we are able to resolve your issue as soon as possible.
Regards,
The Oneplan Team
Hi Samantha,
We would like to profusely apologize for the inconvenience caused. We have acknowledged your complaint and we are dealing with it accordingly.
As per your discussion with Irene, your claim query is in the process of being resolved.
In terms of your outstanding claims, we do require a detailed invoice to ensure that the funds that were utilized, are for the procedures/ medication that was prescribed by the GP. This is required for auditing purposes on our side. We do apply a TCF culture, therefore we would need medical proof for the medication purchased at the GP as well as the consultation fee stated on the invoice (as this is a requirement stated in our Policy Wording, Section 2.1.3.3). We believe in treating all of our clients fairly.
We thank you for your patience in the matter and we hope that we are able to resolve your issue as soon as possible.
Regards,
The Oneplan Team