ljvv
leone jansen van vuuren

1 reviews | Active since Jul 2017

21 Nov 2023, 17:46

WORST HOSPITAL PLAN EVER!!!

STAY AWAY! Worst descision of our lives to move from Discovery Medical's Hopsital plan to Oneplan Hospital Plan. Here is our story - me and my husband was with Discovery for 2 years and in April this year. We wanted to save a bit money and contacted Oneplan to ask about their hospital plans. We compared our hospital plan with Discovery to the one of Onsplan and it was basically more or less the same - just a little bit more affordable. I spoke to the sale Rep of Oneplan and he explained everything and also confirmed that there will be NO waiting periods due to the fact that we came from another medical aid's hospital plan for 2 year or more. Now I am pregnant and they told us telephonically that we are still on a waiting period and they will not pay for anything for the pregnancy. I am sending emails upon emails for a answer in writing from them, together with a copy of the recorded phone call with the sales rep confirming there would be no waiting periods - because if it was not for that - we would not have left Discovery. We now have to pay everything out of our pocket - but we are certainly going to take legal steps on there false pretences. I did not even mention how I steuggled to get my app amd the website working. But that is a story for another day. In short ---- JUST STAY AWAY!!

0
Replies (1)
Oneplan Insurance
Oneplan Insurance's reply22 Nov 2023, 15:41
Official
Dear Leone,
 
Thank you for taking the time to bring this to our attention and congratulations on the pregnancy, we wish you and your new bundle of joy the best of health.
  
We apologize for the circumstances under which your Hellopeter posting has reached us, and for any inconvenience caused. We do take customer feedback seriously to improve our service and process to ensure that we meet our client’s expectations. 
 
Kindly note that records on the system confirm that an application form for our Health Product was completed and submitted and we received confirmation of previous medical cover.  Please note that only the waiting period for illness in hospital and the Casualty Illness benefit for newly diagnosed conditions will be waved upon clients providing proof of being covered with another service provider for a minimum of 24 consecutive months without any break in cover preceding the Inception Date of your policy, 
 
As per the letter of confirmation of the previous cover, we discovered that your husband was covered for 24 consecutive months, however, you were only covered for a total of 17 months as the medical certificate confirms that you were only covered from 01 November 2021 till 30 April 2023. According to this, only your husband was eligible for the waiver of the waiting periods for newly diagnosed conditions. As per our policy terms and conditions, there is a 12-month waiting period for Natural Birth and Emergency Caesareans. This is a general waiting period on the policy, and it is the period of time that has to pass before you can claim for the benefit. Unfortunately, the general waiting periods cannot be reduced or removed as this is a standard waiting period on the policy. This waiting period applies to all clients, regardless of previous medical cover, as it is a standard requirement.

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. Terms and conditions of the policy must be adhered to and app**** fairly for all clients. Oneplan subscribes to its TCF principles and will take all reasonable steps to ensure fair and equal treatment of all our clients.

As per your request, we have since proceeded to send an email to your listed email address.

Once again, we apologize for any inconvenience caused and hope the above brings clarity to the matter. 
               
Kind Regards,
Oneplan