DM
Denzil M

1 reviews | Active since Sept 2015

14 Mar 2023, 14:44

Poor Service

I was informed to complete a wellness questionnaire in order to activate an additional benefit, which was completed on 17/11/22 (same date of my radiology claim) . My radiologist then submits his claim and it rejects. Assuming that the claim was summitted too soon, I request it to be reprocessed. The scheme then notifies me a few weeks afterwards that my benefits are exhausted. I then settle the account with the provider in order to avoid multiple calls and hand over for debt collection and decide to follow up with the scheme. I notify the service center on 25/01/23 that the benefit was activated and funds available - please reprocess my claim. on 28/01/23 I am informed that it has been submitted to claims for reprocessing. I follow up on 07/02/23 with no response. I get informed on 13/02/23 that the wellness booster benefit was in fact activated on 17/11/22 (family benefit) but the claim hasn't been paid. Another email from Bonitas on 02/03/23 advising me the claim remains rejected as the wellness booster was not activated. I then respond, with screenshots confirming the benefit active with no response to date. Just utter incompetence and inaccurate information shared by this service center. You advertise a benefit, it gets activated then you refuse to pay a claim! Hopefully I receive some assistance after this.

0
Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply14 Mar 2023, 15:13
Official
Hello Denzil

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