TM
Thando M

1 reviews | Active since Sept 2017

25 Jul 2024, 14:13

BonCap Claims process

I am experiencing poor service from @BonitasMedical 😭. The administrators don't know who their team leaders or managers are, and I am being sent from pillar to post. SLAs are not adhered to; it's an absolute mess for a medical aid I had so much hope in. I am not sure where to start, but I am not getting any assistance from Boncap.

I have been contacting Boncap claims, but my airtime always runs out, and when I ask them to get back to me, they promise to call around 4 pm. Some do, but some don't. I submitted all necessary documents and was promised that claims would be honored, but still nothing. Hence, I resorted to getting assistance from the WhatsApp line, but the person told me they couldn’t help after I asked if they could get someone from Boncap This is a pressing matter, and there are several issues that need to be addressed with the claims department. This is not TCF at all.

Since June, when claims weren’t honored, I have been told there is a backlog. Despite sending the paper claim to BonCap more than four times, it wasn’t attached. I was informed it’s with the new administrator, that it has been escalated, and that it would be paid on a certain date, which didn’t happen. The hospital wasn’t paid either. Funds were pulled from my medical day-to-day account while I was under hospitalization, and I was assured this would be fixed. A lot has been going on. Bonitas website shows that they are open on Saturdays at their Jhb Cbd branch, I went there twice in the morning during their operating hours and it was closed. At this point I don’t know what to do but they need to exposed so people don’t go through what some of us are going through. It’s truly sad especially as someone that’s been in and out of hospital.

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Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply25 Jul 2024, 15:49
Official
 Hello Thando M

Thank you for notifying us of your complaint. We are so sorry to hear about this, we are glad that you brought this to our attention to resolve. 
 
We will investigate this matter. 
 
We appreciate your patience while we are resolving this query for you. 
 
Kind Regards 

Bonitas Team 
TM
Thando M's update29 Jul 2024, 15:18
Reviewer Update
Still no progressive reply from Bonitas, all my queries were not attended too. I just received an email from one of the stuff members and the email is not detailed, I had to call (ran out of airtime again) and find out, seemingly what’s on the email and what I am told on the call there is no alignment. This is the worst service ever 😭. No courtesy whatsoever to call the client and make sure if all complaints were adhered too.