NG
Noma-Gcina Gcista

1 reviews | Active since May 2020

06 Apr 2023, 10:28

Disgusting and appalling non-service

January 2023, I went to a gynae. I submitted my claim. No response. I followed up a number of times - timeline below. No resolution to date. Now in April, I submitted a referral for authorisation. No response. We are paying members. At least have the decency to tell me you will not pay. The silence is worse than repudiation. Disgusting service. Appalling for a company in the health sector. They are meant to be dealing with peoples health needs and wellbeing. Sies. - 19 January 2023 - Submited a claim on the system - 15 February 2023 - Sent email to *** following up on status - 24 February 2023 - Sent another follow up email to *** and *** - 7 March 2023 - Sent another follow up email - 7 March 2023 - Received an automated response saying the email is being attended to. Reference number: 070323QK597X - 12 March 2023 - Received an email stating the claim has been submitted to claims, and turn around time is 10 working days. - 18 March 2023 - Received email requesting that I submit a practice number and treatment date (which are on the documents I had originally submitted) 19 March 2023 - I respond with the information and attach the invoice and statement which has the details.

I have heard nothing ever since. Is this OK service? Would the CEO be treated like this with his/her claim?

On 3 April 2023, I submitted a referral from my doctor for an assessment of my neck. I received an automatic email confirming receipt and that it is being attended to. After how long? Will I have to wait as I have done with the claim? Kindly advise whether you will cover my assessment or not so that I can make an informed decision. You can either cover the treatment or not. What is difficult in informing me?? Sies!

0
Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply06 Apr 2023, 10:51
Official
Hello Noma-Gcina Gcista

Thank you for notifying us of your complaint. We are so sorry to hear about this, we are glad that you brought this to our attention to resolve. 
We are investigating this matter.

We appreciate your patience while we are resolving this query for you. 
Kind Regards

Bonitas 
Bonitas Medical Fund
Bonitas Medical Fund's reply06 Apr 2023, 10:54
Official
Hello Noma-Gcina Gcista

Thank you for notifying us of your complaint. We are so sorry to hear about this, we are glad that you brought this to our attention to resolve. 
We are investigating this matter.

We appreciate your patience while we are resolving this query for you. 
Kind Regards

Bonitas