The complaint has been investigated and
resolved to the customer's satisfactionResolved Oneplan Medical Insurance — not authorizing my sons operation
resolved to the customer's satisfaction
This is only one of many problems i have encountered with OnePlan. My son is 3 years old and has over all been a very healthy child, around about middle August he got flu and it wouldn't get better, in the beginning of September I took my son to the doctor and was given medicine for sinuses & allergies, I returned to the doctor again the end of September as his condition was not improving, she referred me to a specialist as my sons tonsils had enlarged, the specialists diagnosis is that my son needs to have his tonsils & his adenoids removed as well as sinuses need to be drained and grommets put in his ears, my medical aid is now refusing to pay for the operation as they say their committee has decided it is a pre-existing condition! My specialist wrote them a letter stating that it is not and that it has recently occurred my son has trouble breathing when he sleeps as well as some temp hearing loss due to fluid behind his ear drum & they still decline the operation. A medical aid is there for these reasons and you pay for it, its not like its free & still they seem to have the upper hand, it's ridiculous. His operation is for Thursday and i still don't have a reference number.
The complaint has been investigated and resolved to the customer's satisfaction.