MT
Michelle T
1 reviews | Active since Mar 2009
27 May 2019, 13:35
MATTER NOT RESOLVED FOR 3 MONTHS!!
Since my last enquiry, I have had no feedback. I called the call centre last Friday only to be told that I would be liable for the Dr's bill. Please listen to my initial call - I was told that the procedure could be regarded as an emergency.
Helpful (0)
Replies (3)0
Replies (3)
Bonitas Medical Fund's replyOfficial
27 May 2019, 15:58Hello roxanne,
Thank you for submitting a comment to us through Hellopeter.
We have contacted you telephonically, however we could not reach you. Kindly note that a detailed email has been sent to you and this matter has now 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
Thank you for submitting a comment to us through Hellopeter.
We have contacted you telephonically, however we could not reach you. Kindly note that a detailed email has been sent to you and this matter has now 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
Bonitas Medical Fund's reply27 May 2019, 15:58
Official
Hello roxanne,
Thank you for submitting a comment to us through Hellopeter.
We have contacted you telephonically, however we could not reach you. Kindly note that a detailed email has been sent to you and this matter has now 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
Thank you for submitting a comment to us through Hellopeter.
We have contacted you telephonically, however we could not reach you. Kindly note that a detailed email has been sent to you and this matter has now 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
MT
Michelle T's updateReviewer Update
27 May 2019, 16:14Dear Ms MRC Tal****d,
***
Member number: ***
Please accept our apologies for the inconvenience caused by the delay in responding and resolving the query.
We have tried to contact you telephonically to provide you with the outcome on your hellopeter claim enquiry. Unfortunately your cellphone in on voicemail.
Kindly note that the claim was further reviewed by the clinical department to determine if the claim would be approved to pay at cost as PMB (Prescribed Minimum Benefit).
It was confirmed that the treatment was not PMB related and the procedure was not an emergency.
We have requested the microscopy, culture and sensitivity (MC&S) report from the provider. The provider advised on email that the MC&S report was not clinically indicated and hence not done.
As per the above information, the request was declined correctly not to fund the claim as PMB (Prescribed Minimum Benefit).
Should you require any further information, please contact customer services on ***or email us at ***
Please update your personal details on a regular to ensure that you receive the latest updates from Bonitas.
Register at www.bonitas.co.za today, and enjoy the convenience of having access to your medical aid information 24 hours a day, 7 days a week.
Warm Regards,
Bonitas Medical Fund
"The provider advised on email that the MC&S report was not clinically indicated and hence not done" - please explain - this is not clear. Also did you listen to your recording, the initial call I made in February, I was told that the claim would most likely be honoured.
***
Member number: ***
Please accept our apologies for the inconvenience caused by the delay in responding and resolving the query.
We have tried to contact you telephonically to provide you with the outcome on your hellopeter claim enquiry. Unfortunately your cellphone in on voicemail.
Kindly note that the claim was further reviewed by the clinical department to determine if the claim would be approved to pay at cost as PMB (Prescribed Minimum Benefit).
It was confirmed that the treatment was not PMB related and the procedure was not an emergency.
We have requested the microscopy, culture and sensitivity (MC&S) report from the provider. The provider advised on email that the MC&S report was not clinically indicated and hence not done.
As per the above information, the request was declined correctly not to fund the claim as PMB (Prescribed Minimum Benefit).
Should you require any further information, please contact customer services on ***or email us at ***
Please update your personal details on a regular to ensure that you receive the latest updates from Bonitas.
Register at www.bonitas.co.za today, and enjoy the convenience of having access to your medical aid information 24 hours a day, 7 days a week.
Warm Regards,
Bonitas Medical Fund
"The provider advised on email that the MC&S report was not clinically indicated and hence not done" - please explain - this is not clear. Also did you listen to your recording, the initial call I made in February, I was told that the claim would most likely be honoured.
MT
Michelle T's update27 May 2019, 16:14
Reviewer Update
Dear Ms MRC Tal****d,
***
Member number: ***
Please accept our apologies for the inconvenience caused by the delay in responding and resolving the query.
We have tried to contact you telephonically to provide you with the outcome on your hellopeter claim enquiry. Unfortunately your cellphone in on voicemail.
Kindly note that the claim was further reviewed by the clinical department to determine if the claim would be approved to pay at cost as PMB (Prescribed Minimum Benefit).
It was confirmed that the treatment was not PMB related and the procedure was not an emergency.
We have requested the microscopy, culture and sensitivity (MC&S) report from the provider. The provider advised on email that the MC&S report was not clinically indicated and hence not done.
As per the above information, the request was declined correctly not to fund the claim as PMB (Prescribed Minimum Benefit).
Should you require any further information, please contact customer services on ***or email us at ***
Please update your personal details on a regular to ensure that you receive the latest updates from Bonitas.
Register at www.bonitas.co.za today, and enjoy the convenience of having access to your medical aid information 24 hours a day, 7 days a week.
Warm Regards,
Bonitas Medical Fund
"The provider advised on email that the MC&S report was not clinically indicated and hence not done" - please explain - this is not clear. Also did you listen to your recording, the initial call I made in February, I was told that the claim would most likely be honoured.
***
Member number: ***
Please accept our apologies for the inconvenience caused by the delay in responding and resolving the query.
We have tried to contact you telephonically to provide you with the outcome on your hellopeter claim enquiry. Unfortunately your cellphone in on voicemail.
Kindly note that the claim was further reviewed by the clinical department to determine if the claim would be approved to pay at cost as PMB (Prescribed Minimum Benefit).
It was confirmed that the treatment was not PMB related and the procedure was not an emergency.
We have requested the microscopy, culture and sensitivity (MC&S) report from the provider. The provider advised on email that the MC&S report was not clinically indicated and hence not done.
As per the above information, the request was declined correctly not to fund the claim as PMB (Prescribed Minimum Benefit).
Should you require any further information, please contact customer services on ***or email us at ***
Please update your personal details on a regular to ensure that you receive the latest updates from Bonitas.
Register at www.bonitas.co.za today, and enjoy the convenience of having access to your medical aid information 24 hours a day, 7 days a week.
Warm Regards,
Bonitas Medical Fund
"The provider advised on email that the MC&S report was not clinically indicated and hence not done" - please explain - this is not clear. Also did you listen to your recording, the initial call I made in February, I was told that the claim would most likely be honoured.
MT
Michelle T's updateReviewer Update
27 May 2019, 16:15Dear Ms MRC Tal****d,
***
Member number: ***
Please accept our apologies for the inconvenience caused by the delay in responding and resolving the query.
We have tried to contact you telephonically to provide you with the outcome on your hellopeter claim enquiry. Unfortunately your cellphone in on voicemail.
Kindly note that the claim was further reviewed by the clinical department to determine if the claim would be approved to pay at cost as PMB (Prescribed Minimum Benefit).
It was confirmed that the treatment was not PMB related and the procedure was not an emergency.
We have requested the microscopy, culture and sensitivity (MC&S) report from the provider. The provider advised on email that the MC&S report was not clinically indicated and hence not done.
As per the above information, the request was declined correctly not to fund the claim as PMB (Prescribed Minimum Benefit).
Should you require any further information, please contact customer services on ***or email us at ***
Please update your personal details on a regular to ensure that you receive the latest updates from Bonitas.
Register at www.bonitas.co.za today, and enjoy the convenience of having access to your medical aid information 24 hours a day, 7 days a week.
Warm Regards,
Bonitas Medical Fund
***
Member number: ***
Please accept our apologies for the inconvenience caused by the delay in responding and resolving the query.
We have tried to contact you telephonically to provide you with the outcome on your hellopeter claim enquiry. Unfortunately your cellphone in on voicemail.
Kindly note that the claim was further reviewed by the clinical department to determine if the claim would be approved to pay at cost as PMB (Prescribed Minimum Benefit).
It was confirmed that the treatment was not PMB related and the procedure was not an emergency.
We have requested the microscopy, culture and sensitivity (MC&S) report from the provider. The provider advised on email that the MC&S report was not clinically indicated and hence not done.
As per the above information, the request was declined correctly not to fund the claim as PMB (Prescribed Minimum Benefit).
Should you require any further information, please contact customer services on ***or email us at ***
Please update your personal details on a regular to ensure that you receive the latest updates from Bonitas.
Register at www.bonitas.co.za today, and enjoy the convenience of having access to your medical aid information 24 hours a day, 7 days a week.
Warm Regards,
Bonitas Medical Fund
MT
Michelle T's update27 May 2019, 16:15
Reviewer Update
Dear Ms MRC Tal****d,
***
Member number: ***
Please accept our apologies for the inconvenience caused by the delay in responding and resolving the query.
We have tried to contact you telephonically to provide you with the outcome on your hellopeter claim enquiry. Unfortunately your cellphone in on voicemail.
Kindly note that the claim was further reviewed by the clinical department to determine if the claim would be approved to pay at cost as PMB (Prescribed Minimum Benefit).
It was confirmed that the treatment was not PMB related and the procedure was not an emergency.
We have requested the microscopy, culture and sensitivity (MC&S) report from the provider. The provider advised on email that the MC&S report was not clinically indicated and hence not done.
As per the above information, the request was declined correctly not to fund the claim as PMB (Prescribed Minimum Benefit).
Should you require any further information, please contact customer services on ***or email us at ***
Please update your personal details on a regular to ensure that you receive the latest updates from Bonitas.
Register at www.bonitas.co.za today, and enjoy the convenience of having access to your medical aid information 24 hours a day, 7 days a week.
Warm Regards,
Bonitas Medical Fund
***
Member number: ***
Please accept our apologies for the inconvenience caused by the delay in responding and resolving the query.
We have tried to contact you telephonically to provide you with the outcome on your hellopeter claim enquiry. Unfortunately your cellphone in on voicemail.
Kindly note that the claim was further reviewed by the clinical department to determine if the claim would be approved to pay at cost as PMB (Prescribed Minimum Benefit).
It was confirmed that the treatment was not PMB related and the procedure was not an emergency.
We have requested the microscopy, culture and sensitivity (MC&S) report from the provider. The provider advised on email that the MC&S report was not clinically indicated and hence not done.
As per the above information, the request was declined correctly not to fund the claim as PMB (Prescribed Minimum Benefit).
Should you require any further information, please contact customer services on ***or email us at ***
Please update your personal details on a regular to ensure that you receive the latest updates from Bonitas.
Register at www.bonitas.co.za today, and enjoy the convenience of having access to your medical aid information 24 hours a day, 7 days a week.
Warm Regards,
Bonitas Medical Fund