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BZ
Bongiwe Z

1 reviews | Active since Jun 2014

25 Jan 2021, 07:27

Breach of agreement

I was admitted to hospital for a medical procedure in December. After fighting with Bonitas to process the claims as PMB, they agreed and promised to process all claims for 3 December as PMB claims. The anesthesiologist account was submitted late and submitted later than the other accounts, now Bonitas doesn't want to process the claim as agreed. How does one have an an emergency operation without an anesthesia? Why pay for the doctor, hospital, pharmacy, scans, blood tests as PMB but the anesthesiologist not? This is utter *******. I will be lodging a complaint with the medical schemes council for malpractice and breach of agreement from Bonitas and canceling my membership.

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Replies (3)
Bonitas Medical Fund
Bonitas Medical Fund's reply25 Jan 2021, 08:24
Official
Hello Bongiwe,

Thank you for notifying us of your complaint, we are sorry to hear about this, we are glad that you have brought this to our attention. 
 
 We are currently investigating this matter. 
 
 We appreciate your patience while we are resolving this query for you.
 
Regards,
 
 Bonitas Team
BZ
Bongiwe Z's update26 Jan 2021, 10:52
Reviewer Update
Bonitas has agreed to process the claim as a PMB claim. It's a pity that people need to complain on such a platform before the business treats customers fairly and upholds commitments.
Bonitas Medical Fund
Bonitas Medical Fund's reply26 Jan 2021, 15:25
Official
Hello Bongiwe,

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 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