CL
Chavon L
1 reviews | Active since Sept 2019
03 Sept 2023, 10:23
Worst Claim Process,
Ive been a client of One Plan Medical Insurance for about 3 years, and in the 3 years ive made about minor claims and each time i submit a claim it is a hassle. I need to constantly phone them to resolve my claims and their customer services is terrible. NOW, last week i submitted a claim for scripted meds and attached the script and proof of payment that I received from the pharmacy but they have come back and said they need more info BUT WHAT MORE DO THEY WANT! ive asked for one of their agents to call me as i am not going to waist my airtime each time to call them to resolve my claims. If this is how it goes to claim for minor treatment i cant even begin to imagine how hard it would be to claim for a hospital claim. TERRIBLE SERVICE
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Oneplan Insurance's replyOfficial
03 Sept 2023, 18:24Dear Chavon,
Thank you for taking the time to bring this to our attention.
We sincerely apologize for any inconvenience caused and the circumstances under which your Hellopeter posting has reached as we do take customer feedback seriously to improve our service and process to ensure that we meet our client’s expectations.
Kindly note that a detailed invoice is required when claiming for day-to-day benefits. The invoice for scripted medication will need to include the Pharmacy practice number, the total amount charged, the Patient's name and the Service date. Should you wish to load funds for another day-to-day claim, we would require for the previous claims to be concluded before loading any further claims. The reason for this is for auditing purposes on our side and to prevent ***** as funds are loaded within 60 seconds on to your Onecard.
Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. The terms and conditions of the policy must be adhered to and app**** fairly for all clients. We do have your best interests at heart, 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 and we hope to restore the experience.
Kind Regards,
Oneplan
Thank you for taking the time to bring this to our attention.
We sincerely apologize for any inconvenience caused and the circumstances under which your Hellopeter posting has reached as we do take customer feedback seriously to improve our service and process to ensure that we meet our client’s expectations.
Kindly note that a detailed invoice is required when claiming for day-to-day benefits. The invoice for scripted medication will need to include the Pharmacy practice number, the total amount charged, the Patient's name and the Service date. Should you wish to load funds for another day-to-day claim, we would require for the previous claims to be concluded before loading any further claims. The reason for this is for auditing purposes on our side and to prevent ***** as funds are loaded within 60 seconds on to your Onecard.
Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. The terms and conditions of the policy must be adhered to and app**** fairly for all clients. We do have your best interests at heart, 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 and we hope to restore the experience.
Kind Regards,
Oneplan
Oneplan Insurance's reply03 Sept 2023, 18:24
Official
Dear Chavon,
Thank you for taking the time to bring this to our attention.
We sincerely apologize for any inconvenience caused and the circumstances under which your Hellopeter posting has reached as we do take customer feedback seriously to improve our service and process to ensure that we meet our client’s expectations.
Kindly note that a detailed invoice is required when claiming for day-to-day benefits. The invoice for scripted medication will need to include the Pharmacy practice number, the total amount charged, the Patient's name and the Service date. Should you wish to load funds for another day-to-day claim, we would require for the previous claims to be concluded before loading any further claims. The reason for this is for auditing purposes on our side and to prevent ***** as funds are loaded within 60 seconds on to your Onecard.
Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. The terms and conditions of the policy must be adhered to and app**** fairly for all clients. We do have your best interests at heart, 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 and we hope to restore the experience.
Kind Regards,
Oneplan
Thank you for taking the time to bring this to our attention.
We sincerely apologize for any inconvenience caused and the circumstances under which your Hellopeter posting has reached as we do take customer feedback seriously to improve our service and process to ensure that we meet our client’s expectations.
Kindly note that a detailed invoice is required when claiming for day-to-day benefits. The invoice for scripted medication will need to include the Pharmacy practice number, the total amount charged, the Patient's name and the Service date. Should you wish to load funds for another day-to-day claim, we would require for the previous claims to be concluded before loading any further claims. The reason for this is for auditing purposes on our side and to prevent ***** as funds are loaded within 60 seconds on to your Onecard.
Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. The terms and conditions of the policy must be adhered to and app**** fairly for all clients. We do have your best interests at heart, 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 and we hope to restore the experience.
Kind Regards,
Oneplan