MG
Matthew G

1 reviews | Active since Dec 2013

25 Jan 2016, 10:38

Breach of Contract - Contractual *****

1. I went to my GP in December 2015, during the time I was paying for a Bonitas Standard Plan (R2406/month). <br> <br> 2. I submitted my claim as per the usual process as I still had plenty of money in my savings account. <br> <br> 3. Bonitas did not pay my claim, neither did they communicate with me regarding the claims process. <br> <br> 4. I contacted Bonitas in Jan 2016. They said they didn't process the claim from December as they didn't see a member number on the claim, despite the fact that the member number is clearly stated in the subject field of the email. I then resubmitted the claim.<br> <br> 5. According to the medical aid tariffs for 2015 Bonitas Standard, I should have been refunded R302.20. I only received R194.81 from Bonitas. I queried this. <br> <br> 6. Bonitas said that I went to the Pharmacy in Jan, the pharmacy submitted a claim and at the time I had \NO FUNDS AVAILABLE"in my medical aid savings"

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Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply25 Jan 2016, 13:28
Official
Hello Warrior_001,

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