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Linda A

1 reviews | Active since Jun 2010

13 Dec 2021, 18:19

Bonitas does not pay PMB claims even after approving treatment plans

I have been approved for 5 years of HRT and have the documentation to prove it. The treatment plan includes two visits per year to my GP for a routine check up and repeat prescription. I took the 2nd annual visit on 6th December. The claim has been rejected twice. This is what happens with every single PMB claim. I have been informed that Medscheme's systems are not set up to pick up ICD 10 codes which relate to PMB conditions and this is highly *******. This is not the first time or even the 10th time this has happened despite assurances that "the system" will be fixed. The Council for Medical Schemes needs to be notified and I will most certainly be making a complaint.

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Replies (4)
LA
Linda A's update14 Dec 2021, 05:58
Reviewer Update
Here is the private automated reply. Not sure what is confidential about office hours.

Hello Linda

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.
Kindly note that our office hours are Monday to Friday, 8:30 am to 5:00 pm excluding weekend and public holiday.
Your enquiry will be investigated during office hours
We sincerely apologise for the inconvenience.
Kind Regards
The Bonitas Team
LA
Linda A's update15 Dec 2021, 10:20
Reviewer Update
No response from Bonitas either in or out of office hours.
Bonitas Medical Fund
Bonitas Medical Fund's reply15 Dec 2021, 11:02
Official
Hello Linda A
 
Thank you for submitting a comment to us through Hellopeter.
 
According to the email communication, we hereby confirm that your concern has been addressed and this matter has been resolved.
 
As Bonitas we strive to give the best customer service to our clients and appreciate it when you bring your concern to our attention when we have failed to deliver this service.
 
We apologise for any inconvenience caused to you.
 
Thanks and regards
 
Bonitas Team
Bonitas Medical Fund
Bonitas Medical Fund's reply15 Dec 2021, 21:55
Official
Hello Linda A
 
Thank you for submitting a comment to us through Hellopeter.
 
According to the email communication, we hereby confirm that your concern has been addressed and this matter has been resolved.
 
As Bonitas we strive to give the best customer service to our clients and appreciate it when you bring your concern to our attention when we have failed to deliver this service.
 
We apologise for any inconvenience caused to you.
 
Thanks and regards
 
Bonitas Team