tM
thipe M

1 reviews | Active since Feb 2016

05 Jun 2019, 16:55

Bonitas/Denis do not care about their clients

I am disappointed with Bonitas/Denis service as they do not practice empathy or even TCF. They have just shown that they do not care about their clients and have even went on to tell me how this is all my fault. Here is my story below:

• On 13/12/2018 my wife who is a dependent on my medical aid went in for a dental procedure at Sandton Day Hospital • I submitted a claim on my side for the cash amount that we had to pay the dentist, which has been sorted. • On 30/04/2019 I got a medical bill from Precision Medical Solutions for Dr S Veeren (Attached) of R3774.37. • I spoke to Joanne from Precision Medical Solutions who informed me that the claim has been submitted a several times but nothing has been done about it. • She even went further and gave me the reference numbers from her interactions with Denis, *** , Ref ********** • I called Denis and spoke to Akhona, who informed me that the claim was never submitted according to her records. • According to Akhona (Denis claims) the only claim that she could find is the claim from Intercare (who also have not submitted the claim on time and because of this, the claim will not be entertained) • So now this means that I owe R3774.37 for Precision and R6734 for Intercare all which were supposed to have been sorted out by both claims and administrators.

This is really frustrating that I have to send this email as a client to ask for assistance that was supposed to have been offered initially by Denis/Bonitas.

It seems nobody actually cares about the fact that I pay my medical aid in full and on time with no questions asked but whenever we have to get a service, you end up having to fight for it.

0
Replies (4)
Bonitas Medical Fund
Bonitas Medical Fund's reply06 Jun 2019, 10:40
Official
Hello malebyet,

Thank you for submitting your details to us through Hello Peter. 

This is to confirm that we have received your information 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              
tM
thipe M's update07 Jun 2019, 11:01
Reviewer Update
Still waiting for feedback.
Bonitas Medical Fund
Bonitas Medical Fund's reply11 Jun 2019, 11:13
Official
Hello malebyet, 

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 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 
tM
thipe M's update11 Jun 2019, 12:13
Reviewer Update
I still do not understand how this is resolved. Firstly I submitted all the documents on my side on time. If you check your claims, the one I submitted was done in the same month.I was never told by Bonitas that it is my duty to make sure that the claim is settled as per tradition the Doctors are the ones who handle the admin part of their claim not me the client.Your email clearly states that I am accountable for the amounts as the claims were submitted late. How on earth was I to know that the doctors submitted the claims late?  Please note that I have also submitted this to the Ombudsman for medical aids.