JK
Juanita K

1 reviews | Active since Aug 2009

10 Feb 2017, 12:11

Contravention of Medical Aid Schemes Act

<p>I have app**** for membership effective 1/3/2017.</p> <p>Employment terminated at end of February and therefore need to join alternative medical aid.</p> <p>When I spoke to the broker who assisted with the application (Adeleide) she mentioned waiting period for existing condition.</p> <p>I told her that this will not be allowed as I have had continuous medical aid cover since 2000 and that it is in contravention with Section 29 (3) of the Medical Aid Scheme Act.</p> <p>My condition is a PMB which MUST be covered by any given medical aid.</p> <p>I had this exact fight with you before in June 2016 whereby I quoted the particular Section of the Act to you. I also submitted a HP complaint - reference number: 040612Q7KD7S </p> <p>I suggest you refer to that complaint as well.</p> <p>I have been e-mailing Adelaide since the 7th and she has not even given me the courtesy of a response.</p> <p>Please immediately uplift the waiting period on the membership.</p> <p>Thanks</p>

0
Replies (3)
Bonitas Medical Fund
Bonitas Medical Fund's reply10 Feb 2017, 12:51
Official

Hello juanik01,

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

JK
Juanita K's update13 Feb 2017, 13:18
Reviewer Update

I just received an e-mail from your underwriting department refusing to uplift waiting period.

They state I had break in cover. I did NOT!!! I sent all of the certificates. Regardless though, as per Section 29 of the Medical Aid Schemes Act no medical aid may impose any waiting period when medical aid is being changed due to termination of employment.

I again refer you to the Act - I suggest you peruse same.

I await confirmation of immediate upliftment of waiting period.

JK
Juanita K's update13 Feb 2017, 15:48
Reviewer Update

Will I be getting the courtesy of a response soon.......???