Dishonesty

On 31 January I went for a procedure at Medgate in Roodepoort, I then called Bonita's to let them know of this and to get a authorisation. They told me I have a copayment of R1840 which I paid, however a few weeks later the doctor sent me a further invoice for R1860.

I took this up with Bonita's to express how unhappy I was with how they handled my claim, nevertheless I asked them to retrieve the call recordings so that I can understand if they did tell me about the shortfall and if I misunderstood then, I have been battling to come to that till this far.

My argument is that as their client I should be treated fairly and communication should be clear at all times, they have not turned around and said my doctor charged more than what the scheme would pay, but that is the reason I called them so that we are all on the same page and to avoid misunderstandings.

All I am asking is for Bonita's to pay the R1860 as this was explicitly mentioned to me during the call " we are going to pay for the rest and you are only going to pay the R1840 co payment", they also need to print out where they said this was subject to change, scheme limits etc.

Regards