NW
NICOLENE W

1 reviews | Active since Aug 2018

16 Aug 2018, 12:00

ANY EXCUSE NOT TO PAY CLAIMS

My daughter saw an educational psychologist at the school's request. The educational psychologist referred her to a child psychiatrist. Needless to say this ran to an expense of approximately R2600 ... upfront payment!!!! After paying this I emailed REFERRAL letter, invoice and proof of payment to Bonitas only to find out... they will not pay because there was no referral (as per their website member login). There was a referral idiots! Upon phoning the call center to find out who is the person that cannot read REFERRAL, I am told that the educational psychologist had to PHONE and get authorisation first. Please send me a copy of that exact phrase in my policy documents! I am so disgusted at your service, I pay my contributions every month, there are mental health benefits available for my daughter to use and SIMPLE LOGIC and a literate individual can certainly read that there was a referral and this is a necessary treatment... Bonitas just wants you to jump through hoops and changes their policy rules as they go along just to not pay your claims!!! WORST EVER!!!

0
Replies (4)
Bonitas Medical Fund
Bonitas Medical Fund's reply16 Aug 2018, 16:11
Official

Hello Nixmexicocity,

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

This is to confirm that we have received your information and that we are currently investigating this matter.

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

Kind regards,

Bonitas Team

NW
NICOLENE W's update20 Aug 2018, 10:03
Reviewer Update
Still no resolve!!!! No call from Bonitas... I had to call once again to find out what the hell is happening!!! Upon which I am told by the call center agent that a referral letter OR a call for authorisation is acceptable... I DID SEND A REFERRAL LETTER!!!!!!!!!!!!!!!!!!!!!!! To persons reading this post and wondering about joining Bonitas ... don't!!! Their staff is *********** not even knowing what their protocols and procedures are, it changes as and when you call... the way they prefer ....
Bonitas Medical Fund
Bonitas Medical Fund's reply20 Aug 2018, 11:05
Official

Hello Nixmexicocity,

According to the telephonic conversation with our representative, we are currently investigating this matter.

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

Kind regards,

Bonitas Team

Bonitas Medical Fund
Bonitas Medical Fund's reply23 Aug 2018, 10:13
Official

Hello Nixmexicocity,

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