LB
Leslie B
1 reviews | Active since Jan 2018
19 Aug 2023, 10:46
Bonitas *****ing my money and my time
M*** Sourced an optometrist via the https://www.ppn.co.za/medical_aids/28 for Bonitas made an appointment had an eye exam done claim has been rejected because Bonitas does not agree with the prescription. They have not covered absolutely nothing! and yet none of this is disclosed when you look for what the benefit includes! When you try and call the PPN call centre number you have to enter all your detail, listen to it being repeated back to you, but at no point do you speak to a human being. I pay R4568 every single month and have had to pay not only for my spectacles but for a root canal as well. why pay for medical aid???? They keep *****ing me over and their customer service is NON EXISTENT. and yet i keep seeing that they are one of the best medical aids on social media. is that not FALSE advertising?????
Helpful (0)
Replies (6)0
Replies (6)
Bonitas Medical Fund's replyOfficial
21 Aug 2023, 08:54 Hello Leslie B
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
Bonitas Medical Fund's reply21 Aug 2023, 08:54
Official
Hello Leslie B
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
LB
Leslie B's updateReviewer Update
24 Aug 2023, 07:36image.png 8.55 KB1. Reason #15 portion within limit was also not paid
2. Reason #37 code was generated by PPN site when service provider submitted claim. Correct code should be provided by PPN site.
2. Reason #37 code was generated by PPN site when service provider submitted claim. Correct code should be provided by PPN site.
LB
Leslie B's update24 Aug 2023, 07:36
Reviewer Update
image.png 8.55 KB1. Reason #15 portion within limit was also not paid
2. Reason #37 code was generated by PPN site when service provider submitted claim. Correct code should be provided by PPN site.
2. Reason #37 code was generated by PPN site when service provider submitted claim. Correct code should be provided by PPN site.
Bonitas Medical Fund's replyOfficial
24 Aug 2023, 11:57Hello Leslie B
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.
Regards
Bonitas Team
Bonitas Medical Fund's reply24 Aug 2023, 11:57
Official
Hello Leslie B
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.
Regards
Bonitas Team
LB
Leslie B's updateReviewer Update
25 Aug 2023, 08:36Good day the matter has not been addressed. I have responded to the email received with an updated invoice from the optometrist. The matter will be resolved when i have been reimbursed.
LB
Leslie B's update25 Aug 2023, 08:36
Reviewer Update
Good day the matter has not been addressed. I have responded to the email received with an updated invoice from the optometrist. The matter will be resolved when i have been reimbursed.
LB
Leslie B's updateReviewer Update
28 Aug 2023, 11:55Torga Optical Menlyn has submitted an invoice on the PPN website for the third time using different codes as advised previously and yet the claim has still been rejected!
image.png 91.17 KB
image.png 91.17 KB
LB
Leslie B's update28 Aug 2023, 11:55
Reviewer Update
Torga Optical Menlyn has submitted an invoice on the PPN website for the third time using different codes as advised previously and yet the claim has still been rejected!
image.png 91.17 KB
image.png 91.17 KB
LB
Leslie B's updateReviewer Update
30 Aug 2023, 14:57Claim 1, Torga Optical Menlyn Maine, order confirmation ***, The medical aid has rejected the claim u sent in, with rejection codes 15 and 37, Claim was reinvoiced with updated codes as a well as motivation letter .
Bonitas Reference number: 210823QSY87T, Kindly be advised that the claim was rejected for the below required information and not for prescription requirements. The provider has been included on this email so that they can assist with an amended invoice so that we can process claim accordingly.
Rejection remarks :
15 The tariff has been overcharged - code 25100 ( price charged is R 1620.00 for both lens and normal price is R460 per lens).
37 The add-on / lens enhancement charged does not correspond with the type of lens dispensed - Single vison base lens is charged but lens add-on is varifocal. The base lens needs to be the same as the lens add on.
Claim resubmitted 2 with updated codes to PPN/Bonitas, new Torga order number Order confirmation ***, Claim rejected again
Claim 3, Torga generated a third invoice.
There is no one from PPN or Bonitas acting as a central contact point. I have been submitting queries to no one in particular and have received no feedback.
Bonitas is not coming back to say EXACTLY what needs to be done.
I logged complaints via Bonitas website, Twitter, email, Hello Peter and Google reviews and i am getting absolutely nowhere!
Bonitas Reference number: 210823QSY87T, Kindly be advised that the claim was rejected for the below required information and not for prescription requirements. The provider has been included on this email so that they can assist with an amended invoice so that we can process claim accordingly.
Rejection remarks :
15 The tariff has been overcharged - code 25100 ( price charged is R 1620.00 for both lens and normal price is R460 per lens).
37 The add-on / lens enhancement charged does not correspond with the type of lens dispensed - Single vison base lens is charged but lens add-on is varifocal. The base lens needs to be the same as the lens add on.
Claim resubmitted 2 with updated codes to PPN/Bonitas, new Torga order number Order confirmation ***, Claim rejected again
Claim 3, Torga generated a third invoice.
There is no one from PPN or Bonitas acting as a central contact point. I have been submitting queries to no one in particular and have received no feedback.
Bonitas is not coming back to say EXACTLY what needs to be done.
I logged complaints via Bonitas website, Twitter, email, Hello Peter and Google reviews and i am getting absolutely nowhere!
LB
Leslie B's update30 Aug 2023, 14:57
Reviewer Update
Claim 1, Torga Optical Menlyn Maine, order confirmation ***, The medical aid has rejected the claim u sent in, with rejection codes 15 and 37, Claim was reinvoiced with updated codes as a well as motivation letter .
Bonitas Reference number: 210823QSY87T, Kindly be advised that the claim was rejected for the below required information and not for prescription requirements. The provider has been included on this email so that they can assist with an amended invoice so that we can process claim accordingly.
Rejection remarks :
15 The tariff has been overcharged - code 25100 ( price charged is R 1620.00 for both lens and normal price is R460 per lens).
37 The add-on / lens enhancement charged does not correspond with the type of lens dispensed - Single vison base lens is charged but lens add-on is varifocal. The base lens needs to be the same as the lens add on.
Claim resubmitted 2 with updated codes to PPN/Bonitas, new Torga order number Order confirmation ***, Claim rejected again
Claim 3, Torga generated a third invoice.
There is no one from PPN or Bonitas acting as a central contact point. I have been submitting queries to no one in particular and have received no feedback.
Bonitas is not coming back to say EXACTLY what needs to be done.
I logged complaints via Bonitas website, Twitter, email, Hello Peter and Google reviews and i am getting absolutely nowhere!
Bonitas Reference number: 210823QSY87T, Kindly be advised that the claim was rejected for the below required information and not for prescription requirements. The provider has been included on this email so that they can assist with an amended invoice so that we can process claim accordingly.
Rejection remarks :
15 The tariff has been overcharged - code 25100 ( price charged is R 1620.00 for both lens and normal price is R460 per lens).
37 The add-on / lens enhancement charged does not correspond with the type of lens dispensed - Single vison base lens is charged but lens add-on is varifocal. The base lens needs to be the same as the lens add on.
Claim resubmitted 2 with updated codes to PPN/Bonitas, new Torga order number Order confirmation ***, Claim rejected again
Claim 3, Torga generated a third invoice.
There is no one from PPN or Bonitas acting as a central contact point. I have been submitting queries to no one in particular and have received no feedback.
Bonitas is not coming back to say EXACTLY what needs to be done.
I logged complaints via Bonitas website, Twitter, email, Hello Peter and Google reviews and i am getting absolutely nowhere!