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Molefi M

1 reviews | Active since Nov 2020

21 Jun 2021, 15:50

Bonitas Selling what they don't offer

I have been with Bonitas almost five years now. I am disappointed because (1) I have six consultations for maternity which i would prefer to use for consultation with the gynaecologist ( they charge higher than GP) and I also have funds allocated for GP consultation- however Bonitas's system chooses how these are used up, when I saw a GP on pregnancy issues they used the maternity consultations instead of using available GP funds. These are said to be additional benefits to assist members on maternity but Bonitas is using them for their benefit (This I will take with the Medical aid ombudsman as I did not get any assistance from the consultants and I believe is a system problem that may disadvantage not only me but many members.)

(2) I submitted a claim from the gynaecologist where I paid cash (R2700), I was not paid back (***) because the Six additional maternity benefits are used up which is fine ( but unfair because of what I mentioned above in my first point). I have a gynaecologist not paid also . However I have R4000+ on my day to day benefits which can used for a specialist, which a gynaecologist is one. But no Bonitas won't pay. This a consider ***** because the brochure say with no exclusions "These benefits provide cover for consultations with your specialist, acute medicine, X-rays, blood tests and other out-of-hospital medical expenses."

I would love for Bonitas to give me reasonable answers.

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Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply21 Jun 2021, 16:21
Official
Hello Molefi 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,

The Bonitas Team
Bonitas Medical Fund
Bonitas Medical Fund's reply27 Jun 2021, 22:52
Official
Hello Molefi M,
 
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 also encourage you to take time and revisit your review, it will mean a lot to us.
 
We apologise for any inconvenience caused to you.
 
Thanks and regards,
 
Bonitas Team