LJ
Lenteli J

1 reviews | Active since Nov 2017

04 Mar 2019, 12:02

3rd time lucky? Bonitas still has not rep**** after the 3rd complaint?

BONITAS - THIS IS THE 3RD REVIEW I AM LEAVING ON HELLO PETER. LETS SEE IF THE THIRD TIME, I WILL BE LUCKY ENOUGH TO GET A RESPONSE FROM YOU!!

I called and emailed today:

I am really disgusted with the service provided by Bonitas. I have made numerous phone calls and no one seems to care or to even return my call. I will continue writing reviews on Hello Peter until this is resolved.

In 2016 I was on the Primary option that had R8200.00 in the mental health benefit.

Claims made for mental health in 2016: OPENING BALANCE 1 JAN 2016 - R8200 09 Jan - Dr S Hay**** - R836.00 - dependant: Jack Johansson 16 Jan - Dr S Hay**** - R836.00 - dependant: Jack Johansson 20 Jan - Dr Naidoo - R836.00 - dependant: Lenteli Johansson CLOSING BALANCE 30 JAN 2016 - R8200 - R836 - R836 - R836 = R5692.00 AVAILABLE AT 1 FEB 2016 20 Feb - Dr S Hay**** - R684.10 - dependant: Jack Johansson CLOSING BALANCE 28 FEB 2016 - R5692.00 - R684.10 = R5007.90 AVAILABLE AT 1 MARCH 2016 5 May - Dr G Halse - R836.10 - dependant: Lenteli Johansson 10 May - Dr G Halse - R836.10 - dependant Lenteli Johansson PLEASE NOTE THAT THIS CLAIM WAS SUBMITTED TO BONITAS BUT NEVER PROCESSED. IT DOES NOT REFLECT ON ANY OF MY STATEMENTS - YET WHEN WE QUERIED THIS, BONITAS REASON IS THAT THERE WAS NO BENIFITS AND THAT MY AGE WAS NOT COVERED??? CLOSING BALANCE 30 MAY 2016 - R5007.90 - R836.10 - R836.10 = R3335.70 AVAILABLE AT 1 JUNE 2016

On 6 December 2016 I received an email from the PMB department (attached) stating that (BACKDATING CLAIMS): my claims for mental health for Dr Naidoo (Practice number: ********** ) will be covered from 6 July 2016 i.e. claims covered as stipulated by the letter: 06/07/2016 13/07/2016 02/08/2016 13/08/2016 16/09/2016 07/10/2016 27/10/2016 30/11/2016 05/12/2016

And: Dr Nair (Practice number: ********** ) 17/11/2016

This technically means that I had benefits left at the end of 2016 for Mental health. I am so annoyed with how Bonitas has dealt with this and I demand that someone sorts this out!

My reference for today's call: 040319Q8WNSZ

PLEASE NOTE!!! THE PROVIDER STILL HAS NOT RECEIVED PAYMENT FOR HIS SERVICE ON THE 10TH OF MAY 2016!!!

I attached all supporting documents to my email.

0
Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply04 Mar 2019, 16:31
Official
Hello lloots2,

Thank you for submitting your details to us through Hello Peter.

Our representative will be in touch with you  to discuss this matter and ensure that it is speedily resolved.

Kind regards, 
                          
Bonitas Team

Bonitas Medical Fund
Bonitas Medical Fund's reply11 Mar 2019, 09:38
Official
Hello lloots2, 
 
Thank you for submitting a comment to us through Hellopeter. 
 
According to the telephonic conversation with our representative, we hereby confirm that your concern has been addressed and this matter has now been resolved. 
 
As Bonitas we strive to give the best customer service to our clients and appreciate it when you bring your concerns to our attention when we have failed to deliver this service. 
 
We apologise for any inconvenience caused to you. 
 
Thanks and regards, 
 
Bonitas Team