EH
Elton H

1 reviews | Active since Jul 2011

11 Aug 2017, 11:51

Bonitas looking for reasons not to pay.

<p>I have been in a car accident and badly damaged my thumb. The thumb required surgery. Which was done in June. I need rehabilitation therapy to get movement back into the thumb. And well seeing that I am on the Hospital Plus plan that covers up to R44650 per anum it shouldnt be a problem.</p> <p> </p> <p>Well how wrong was I. And this is not the 1st time I had issues with this pathetic medical aid. </p> <p>Claims for the therapy was submited. And rejected. So I got a motivational letter from the operating doctor why I do need rehab therapy following the operation. Again the claim was rejected. Now wrong ICD codes is the excuse. Back to the the******. Who informs me that they have never had issues with other medical aids. But being Bonitas this doesnt surprise me. </p> <p>So I ask them to maybe look at changing the codes. And I resubmit again. Now they pay only part of it!</p> <p>Two more rehab therapy sessions followed this fiasko. Which again was submitted to Bonitas. Together with the original motivational letter from the operating doctor. And guess what? Rejected! </p> <p>Dont be fooled by what you read in the policy. As mine clearly showes rehab is covered yet they are looking for excuses not to pay out. They dont care to help. You cannot reply to any emails as it is "no reply" emails. You cannot get through to an agent as you sit and wait listening to their %$# while on the phone "press this and press that" that you later give up. The normal person does not know anything about codes etc. They are quick to take your money but when you actually need any help they flatly refuse and reject all claims. And this is not the 1st time believe me.</p> <p>Anyone ever considering Bonitas should have their head read. Get a medical aid that actually helps and does what it says in their plan.</p>

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Replies (3)
Bonitas Medical Fund
Bonitas Medical Fund's reply16 Aug 2017, 10:30
Official

Hello, hafbo,

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

This is to confirm that we have received your comment 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

Bonitas Medical Fund
Bonitas Medical Fund's reply18 Aug 2017, 14:53
Official

Hello hafbo,

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

Our representative could unfortunately not get hold of you.

Thanks and regards

Bonitas Team

Bonitas Medical Fund
Bonitas Medical Fund's reply04 Oct 2017, 15:53
Official

Hello hafbo,

Thank you for submitting a comment to us through Hellopeter.

According to the conversation with our representative; we hereby confirm that your concerns have 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