JM
Jodi M

1 reviews | Active since Aug 2017

23 Mar 2018, 13:42

Incorrect Information Provided by Fund

I called your call center today between 12:00-12:30 regarding x3 accounts; The fist account was Dr Labuschagbe PR ********** , services date 22 March. I was informed there was no benefit and therefeore the account short paid. How is this possible when have 6 consultations for the year ? Please go listen to my call made last year in Nov regarding the maternity benefit. I was informed 6 consultations for the year. - Please note this call was made in case i needed to change my option for 2018. The second account in question was for Dr Nieuwoudt PR ********** date of service was 12 and 15 March - These accounts were rejected due to a technical error and even though I have followed up on 2 occasions,this accounts have still not been paid ? Furthermore i would also like to highlight that I also previously contacted the Fund to find out if my PR 16 was a DSP and was informed that i could see the Dr at the hospital but yesterday when obtaining authorization i am informed his not a network Dr? i have seen this Dr for 8 months now and this negatively impacts me. Had i known earlier I could've made arrangements to see a different Dr? In no way was the advice and information provided to me accurate which is grossly unfair towards me as a customer I am now kept liable for outstanding/ short fall on accounts because of incorrect information provided by your call center? Please investigate my queries and listen to my calls and please provide me with the appropriate feedback.

0
Replies (5)
Bonitas Medical Fund
Bonitas Medical Fund's reply26 Mar 2018, 08:17
Official

Hello Jodi22,

Thank you for submitting a comment to us through Hello Peter.

Kindly reply privately with the membership number and contact details in order for us to assist with your query.

Please note that your personal information is not showing on the public view platform.

Kind regards,

Bonitas Team

JM
Jodi M's update03 Apr 2018, 11:17
Reviewer Update
still no feedback
Bonitas Medical Fund
Bonitas Medical Fund's reply05 Apr 2018, 04:11
Official

Hello Jodi22,

Thank you for submitting a comment to us through Hello Peter.

We confirm that a detailed email has been sent to you and this matter has been resolved.

As Bonitas we strive to give the best customer service to our clients and appreciate it when you bring your concerns to our attention when we have failed to deliver this service.

We apologise for any inconvenience caused to you.

Thanks and regards,

Bonitas Team

JM
Jodi M's update05 Apr 2018, 08:20
Reviewer Update
Hello Bonitas Team..... IT HAS TAKEN YOU 8 DAYS TO PROVIDE ME WITH FEEDBACK WHICH IN NO WAY HAS RESOLVED MY ORIGINAL COMPLAINT. PATHETIC!!!!!! YOUR DETAILED EMAIL TO ME BASICALLY PROVIDES ME WITH INFORMATION THAT I'M ALREADY AWARE OF???? NOTHING DETAILED ABOUT IT? I KNOW THE ACCOUNTS ARE REJECTED/ SHORT PAID .... I WANT TO KNOW WHY ITS BEEN REJECTED/SHORT PAID WHEN MY AVAILABLE BENEFIT FOR CONSULTATIONS AND GP'S AS AT TODAY IS R2500.00 , MY DAY2DAY IS R2600.00 AND ADDITIONAL NON-NETWORK GP BENEFIT OF R1600.00, EXACTLY WHAT BENEFIT IS DEPLETED? AGAIN DR LAUBUSCHANGE ACCOUNT IS REJECTED DUE TO DEPLETED BENEFITS BUT I HAVE AVAILABLE BENEFITS BEARING IN MIND YOU ARE REJECTING A PMB CLAIM WHICH ALL MEDICAL SCHEME MEMBERS SHOULD HAVE ACCESS TOO...... I FIND IT GROSSLY UNFAIR THAT BONITAS MEDICAL FUND GETS TO TREAT CUSTOMERS IN THIS MANNER AND PROVIDE MISLEADING INFORMATION TO CUSTOMERS, YOUR COMPLAINTS PROCESS IS UTTER ****. ABSOLUTELY NOBODY HAS BOTHERED CALLING ME REGARDING MY COMPLAINT BUT JUST SENT A ****TY EMAIL WITH AGAIN INCORRECT INFORMATION. NONE OF MY QUESTIONS HAS BEEN ANSWERED. CHECK YOUR FACTS AND GETS BACK TO ME WITH PROPER FEEDBACK.
Bonitas Medical Fund
Bonitas Medical Fund's reply07 Apr 2018, 05:36
Official

Hello Jodi22,

Thank you for submitting a comment to us through Hello Peter.

We confirm that our representative has contacted you and final feedback will be provided accordingly.

As Bonitas we strive to give the best customer service to our clients and appreciate it when you bring your concerns to our attention when we have failed to deliver this service.

We apologise for any inconvenience caused to you.

Thanks and regards,

Bonitas Team