SN
Simangele N

1 reviews | Active since Mar 2015

17 Nov 2015, 11:34

PMB benefit under Chronic condition

I had to change meds due to huge MEMORY LOSS. I had to go back to the to the specialist & I was advised that I need to get another referral letter I had about R700 under mental health I went to the GP for the letter. I was not aware that my visit was going to be deducted under mental health, then I checked with the medical aid I was advised I'm left with R400+ I was surprised & I asked them but this is PMB condition how can I runout of funds, they said to me they will pay the difference from the Psychiatrist. I went to the Psychiatrist he charged me R1200 on the 28/09/2015 & I sent an invoice it rejected they didn't even bother to pay me that R400 (query no:300915QGMTYZ.) I was also advised that other parts of the invoice were hand written & it was tariff codes & the dr signed it & stamped it.<br> <br> Lindi Manana Bonitas Consultant came in our company for a presentation of the schemes latest products offerings I advised her about this I sent her an email (query no :291015QHKFZM) it was rejected I checked the claim was put under my daughter KSO Nduli who doesn't have a PMB condition. I'm sick and tired of BONITAS. YOU HAVE DENIED ME MY RIGHT TO HAVE CONTINUOUS HEALTHCARE EVEN IF MY BENE

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Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply18 Nov 2015, 10:30
Official
Hello Zamantini80,

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

This is to confirm that we have received your comment 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