MO
Mahomed O

1 reviews | Active since Oct 2014

06 Feb 2019, 23:06

Pathetic service

160119Q6D9WW 290119Q70SS0 290119Q70SSF 010219Q77HJL 010219Q77J2L

Thats how many queries for one claim.

Bonitas: "Please note that Specialist consultations without a valid referral from a GP could result in non-payment of claims. Your GP to call the call centre to obtain an automated specialist referral authorisation number, via the IVR (Interactive Voice Response) system on ********** 666 before consulting with a specialist."

WOW! My GP must call the call centre. So, to see a specialist, I must go for a consult by him, I must get a referral letter (which I already got and submitted to Medical aid), and then I must demand to my GP that my medical aid is really pathetic so he has to call the call centre to get authorisation for me to visit the specialist. Like the GP even cares or has the time to sit and make phone calls. That is not standard or logic procedure.

Worst of all is as follows: When I called the number, they have 4 option: - 1 Chronic meds- 2- Gems authorisation 3-Hospital authorsiations 4- Boncap queries Ha ha. Where on earth is specialist authorisation.

am struggling like you cant believe to get my claim paid. It got rejected 3 times now,.

The first time it got rejected because they said the date was in the future. Guess what. The date was 100% correct.

Emails dont work because they reply in ambiguous language. Phone calls dont work because all they can do is "We will reprocess the claim and you will get feedback soon". 4 days later, a rejection email with vague reasons "Specialist referral required". Oh wait I did submit the referral letter three times so I dont get it. I call again, they do the same thing again.

I sent in another claim for another doctor 2 weeks ago. Still has not reflected (310119Q77G76)

Oh and another thing (060219Q7JM97 & 160119Q6DB01) - I still havent got my card yet. It is absolutely vital to have it in case of emergency. They said they posted it last year, didnt get it. They said they posted it 2 weeks ago. Still didnt get it. And you know what, if I call them now to ask where my card is, they will say it takes 3-4 weeks so I must wait. Then once I wait it out, and it doesnt get here, I will re-query it, and then wait another 4 weeks. That takes me to April if ever I get my cards. I use to be on Discovery before this. Way way better. I am definitely done with Bonitas. I will be changing as soon as possible. My company recently introduced Bonitas as an option, I was one of few that switched. All my colleagues asked me how is it, up to now I use to say its great. My opinion has changed now, I will NEVER suggest Bonitas to anyone ever again.

Irfaan Osman ********** 705

0
Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply07 Feb 2019, 15:36
Official
Hello mohamedirfaan,
Thank you for submitting your details to us through Hello Peter.
This is to confirm that we have received your information 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