WG
Wilene G

1 reviews | Active since Feb 2020

26 Nov 2024, 12:56

WOULD NOT RECCOMEND THIS BUSSINESS TO ANYONE

It’s frustrating when a business doesn’t care about customer satisfaction, and it’s even worse when youdeal with employees who are actively unhelpful. I was left feeling completely ignored and disappointed on refunded claims that was incorrectly processed, I sent numerous emails and a month later recieved no comunication, I had to phone numerous times.

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Replies (1)
Oneplan Insurance
Oneplan Insurance's reply26 Nov 2024, 15:50
Official
Dear Wilene,

Thank you for taking our call earlier and allowing us the opportunity to further discuss the matter at hand. 

We sincerely apologize 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. 

As per our telephonic discussion, in order for us to process a refund for the Scripted Medication claim, we would require the Pharmacy printout for the script which will include the following details:
-Pharmacy practice number
-Total amount charged
-Patient's name 
-Service date 

Kindly note that Pharmacies also have the option to claim directly via the Medi-score system. When we receive claims via the Medi-score system, we pay the Pharmacy/Service Provider directly up to the respective cover limit.

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. Please note we are governed by the FAIS Act and must apply the TCF (Treat Customers Fairly) policy to ensure all our clients receive fair service and cover. 

We have since proceeded to send an email to your listed email address and once we receive the Scripted Medication invoices we will process it accordingly.

Once again, we apologize for any inconvenience caused and hope to have provided clarity on the matter and restored the experience.

Kind Regards,
Oneplan