fJ
frans J

1 reviews | Active since Feb 2017

21 Feb 2017, 16:48

PMB services not met.

<p>My Wife is registered as a PMB and is allowed a specialist visit at a rate of R490 </p> <p> <br />We recently visited the specialist and was only reimbursed 50%</p> <p>After an enquiry about this, I was told it is because we did not use a network doctor, but there is none available in the Western Cape, on the second enquiry I was told that the benefit was depleted, but apart from the chronic medicine, there were no other claims for the period of 2016.</p> <p>I am taking the matter tot he ombudsman for medical schemes as this is unacceptable.</p> <p>I have been a loyal customer of Bonitas for years but it is time to move to Discovery!</p>

0
Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply22 Feb 2017, 10:13
Official

Hello FransdJager,

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

fJ
frans J's update22 Mar 2017, 08:08
Reviewer Update

SO weeks has past and I actually did get a call but only to say it is being looked at but that is where it stopped. Again another claim was not paid in full as the doctor is not a network doctor. Why pay less, it does not cost you more? I pay the difference anyway. It is unfair to pay less because the doctor charge more. One should have to freedom to choose the doctor whom you want to use. I am not asking for more cover but simply pay as per the cover plan.