EM
Elizabeth M

1 reviews | Active since Sept 2013

04 Aug 2021, 06:05

Medical Aid Fund unfair treatment

Good Day Peter I am an unhappy client with bonitas medical aid fund My first issue dates back from the 26 March 2021 I was admitted at Tshepo Temba hospital, on the 31st March i was taken for MRI scans( for the first time in my medical fees)invoice was submittef to the medical aid for the to pay amount of +-R14 000 To the service provide, i called the medical aid as i was getting complains from the service provide that my bill has not been paid ,i was first told i did not have funds for the procedure i questioned the agent who was assisting me that were have the funds allocated to me go to as this was the first time in a year i was doing this procedure, i was told that they will investigate and give feedback to me , in April 2021 i called again wanting to check how far are their with my query instant i was send from pillar to post till to date i have not recieved any feedback from them and my bill remains an unpaid

11 May 2021 i was admitted at parklane hospital for a minor procedure the hospital submits the invoice to the medical scheme ; the medical scheme raises a red flag saying the the hospital have used the incorrect codes for billing, i call the hospital making them aware of their error i even had the medical schene agent on the line which i askef him to explain what must be resubmitted by the hospital so that they can make the payment The hospital resubmits the required information to the medical aid scheme, on the 2 August i recieve a billing statement from the hospital that shows that an amount of +-R1000 was paid for this bill and then i am liable for the reminder of +-R13 000 even there again i do a conference call with the hospital and medical aid agent , the hospital responded that they had resubmitted the correct information to the medical aid scheme with the correct codes of biling , i then questioned the agency and he claims that information was never recieved subsequently during the telephone conversation i received an email from the hospital showing that indeed the required information was submitted to the medical aid scheme in July, the agecy responded again that he will investigate and get back to me, i told him i am used to hearing the same old line" Will investigate " and give feedback I am totally unhappy with the service i am recieving from the medical aid scheme, i feel as if i am begging them to do right by me. This is so unfair on my side as i pay my medical contrubution with out failure but i am recieving an unfair treatment from them

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Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply04 Aug 2021, 06:45
Official
Hello Elizabeth M

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

Bonitas Team


Bonitas Medical Fund
Bonitas Medical Fund's reply08 Aug 2021, 11:20
Official
Hello Elizabeth M
 
Thank you for submitting a comment to us through Hellopeter.
 
According to the email communication, we hereby confirm that your concern has been addressed 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 concern to our attention when we have failed to deliver this service.
 
We also encourage you to take time and revisit your review, it will mean a lot to us.
 
We apologise for any inconvenience caused to you.
 
Thanks and regards
 
Bonitas Team