MB
Mingray B

1 reviews | Active since Sept 2015

28 Feb 2022, 18:59

Outstanding Medical Bill

On the 25th of January 2022, I went to see my specialist for a medical issue. I was referred to the specialist by my GP. The specialist did a full check up and drew bloods on the same day. On the 2nd of February 2022 I received a claim acknowledgement email from the medical stating that they received my claim. Normally when I receive these emails, I know that I do not have to pay in or partially pay a small amount of the total amount. The specialist billing office called me about a week saying that the medical aid rejected my claim due to an outstanding referral letter. I told them that my referral letter was in my hospital file, which was sent with when my claim was submitted. Which didn't make sense to me all because when a claim is submitted to the medical aid all proof must be attached. I then WhatsApp'd Bonitas with my query. They came back and say that a reference authorization was outstanding - what the fvck! I emailed them twice already no response - pathetic bunch! I emailed them again today and they said I needed a specialist referral. How can I provide them with a specialist referral when I went to go and see a specialist. That didn't make sense. A few hours before knocking off work they said no, the specialist that I was referred to was not in my GP's network. This is so damn frustrating. Now I must pay the full outstanding amount of my medical bill for idiots that experts in their field. Why am I paying thousands of rands every flippen month for a damn medical aid that is not covering me. That's plain bull **** to say the very least.

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Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply28 Feb 2022, 19:19
Official
Hello Ming-ray enrico B 
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