BS
Barend S

1 reviews | Active since Mar 2009

08 Jan 2016, 14:41

Incorrect application of scheme tariff

On 27 Nov 2015 I submitted a claim to Bonitas to be refunded to me the member. I've paid the vendor and attached the invoice & proof of payment to be refunded. The treatment date was 19 Nov 2015 & ref nr ***. However the same mistake was made as with my previous claim (treatment date 28/9/2015 Ref nr ***), the vendor was paid and not me and at the incorrect scheme tariff amount. The Sep claim was corrected but the 19 Nov claim after several queries I was finally refunded but still with the incorrect amount. Under nappi code 511312 I was refunded for 3 units totaling R153.65, instead of 90 units (3 boxes x 30 units/box) totaling R2,688.98. I buy 2 months supply and claim bi-monthly 60 units (claims ***,*** &***) and get refunded R1659. November I ordered 3 months supply and get refunded R153 for 90 units? The mistake was that I was refunded R51/box and not per unit. Various calls, emails, query nr's 060116QKGMT1,040116QKB9BT, 271115QJJ51F, 011215QJMJWF, 011215QJMKXL, 011215QJMTKG, 111215QJZBY0, 221215QK6LG3, 281215QK7ZY1 and 7 weeks later still no resolve. Being paraplegic is tough but lodging a successful claim at Bonitas is a bigger challenge!

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Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply11 Jan 2016, 09:42
Official
Hello bennies7,

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