CJ
Carmen J

1 reviews | Active since Nov 2014

08 Feb 2018, 10:39

BAD BAD SERVICE

On the 20th December 2017 I saw my gynecologist because I was pregnant and had a check up. I paid cash that day because some doctors does not deal directly with the medical aid, my bill was R1 301.43. I then submitted the invoice to Bonitas claims department a few weeks later I called them to find out why the payout is taking so long, they then said that the codes on the invoice were not Maternity codes they were normal codes. On the incorrect invoice there were 4 codes of which 1 was incorrect. I then went back to the doctor and got an amended invoice and sent that to claims on the 25th January, when I called bonitas yesterday they told me my saving is depleted now this cannot be true as this claim should come out of my Maternity benefit as I have the correct invoice now and not normal benefit. This is my second miscarriage and its just awful to continue fighting with bonitas for a payout, with my first miscarriage the same thing happened and within a week they paid out my claim i'm not sure why they taking so long to understand this problem.

I received my statement yesterday and this invoice with the new codes are not even on that statement which only means that they didn't bother to process this claim and thought it was a duplicate. The old invoice had code 5100 and new invoice has code 3615.

I need someone from bonitas to contact me and handle this situation please.

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Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply08 Feb 2018, 16:58
Official

Hello Carmen Johannes,

Thank you for submitting a comment to us through Hello Peter.

Kindly reply privately with the membership number and contact details in order for us to assist with your query.

Please note that your personal information is not showing on the public view platform.

Kind regards,

Bonitas Team