TP
Tamzin P

1 reviews | Active since May 2018

22 Jan 2026, 15:04

Bonitas rejecting claims without a valid reason

Claim one VRG***: I am on a plan where a co-payment is to my Doctor after consultation. I visited my Doctor on 4 November 2025 and I paid the full amount. When I submitted the claim for the balance to be reimbursed, it was rejected for "Not Covered Unless PMB". I have been a patient at that practice for 2 years. Claim two VRG***: On my second visit to the Doctor on 3 January 2026, I paid the full amount to the Doctor and when I submitted the claim to have the funds reimbursed, Bonitas paid the difference to the Doctor's practice instead of to me (this means that I paid in the Doctor in full and then Bonitas paid the balance to them as well; the balance should have been paid to me). I would like both of these issues rectified as soon as possible please.

0
Replies (4)
Bonitas Medical Fund
Bonitas Medical Fund's reply22 Jan 2026, 15:25
Official
Hello Tamzin P
Thank you for bringing this to our attention. We’re sorry to hear about your experience and appreciate you reaching out.  
We will investigate this matter.
We appreciate your patience while we are resolving this query for you.  
Kind Regards
 
 Bonitas Team 
TP
Tamzin P's update28 Jan 2026, 16:35
Reviewer Update
Good day

Kindly provide me with an update regarding the above case. It has been 6 days since I filed the complaint.

Thank you.
TP
Tamzin P's update03 Feb 2026, 14:28
Reviewer Update
It has been almost 2 weeks since my initial complaint and nobody has contacted me regarding my grievance.
TP
Tamzin P's update04 Feb 2026, 15:02
Reviewer Update
Thank you for your response on my first claim. Please provide feedback on my claim VRG***.