MB
Michelle B

1 reviews | Active since Sept 2015

22 Sept 2015, 13:40

CHANGE TO BENEFIT STRUCTURE & FAILURE TO PAY CLAIM

I am very dissatisfied with Bonitas service. I noticed a change in my benefit allocation and contacted Bonitas on 28/07/15. I was pleased to learn that, after member complaints, Bonitas had amended their benefit structure. They would no longer be deducting the GP consults from the Day to Day benefits. Reference No for this call was 280715QDR8TK. I was assured by the consultant that I could now claim either GP consults, the****** consultations and prescribed meds and it would all form part of the same benefit and claims would be paid. A week or so ago I noticed that all claims were pending, but not paid. I was advised that this was an IT issue. Today I noticed and received statements from doctors advising that my Day to Day funds were depleted. Bonitas had decided to revert back to their old structure of deducting GP Consults from Day to Day WITHOUT notifying their members of their change in structure. As a result I feel they should continue with their initial, revised structure and pay the claims. If you don't visit your GP, your funds should be used for other areas - SURELY. I am waiting for a fast resolution and pmnt of my claims. Do Bonitas just not want to pay claims???

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Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply22 Sept 2015, 14:10
Official
Hello michellebeckford,

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