LK
Lwazi K

1 reviews | Active since Jun 2015

22 Oct 2018, 09:13

Refusal to Pay Claim

Bonitas have refused to pay this claim.

I had undergone a corneal cross linking procedure. My ophthalmologist works in contract with Bonitas and performs this procedure regularly and confirmed many times that Bonitas pays this claim out of the hospital benefit. But when I submitted the claim, Bonitas said it pays from the savings account.

I’ve following up several times and even lodged a formal complaint. They still refuse to pay.

Reference number 030718QVT4P3

I’ve requested a record of the in-app chat history (to take this to the Counsil for Medical Schemes) but haven’t received anything.

0
Replies (4)
Bonitas Medical Fund
Bonitas Medical Fund's reply22 Oct 2018, 16:26
Official

Hello lwazikun,

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

Bonitas Medical Fund
Bonitas Medical Fund's reply26 Oct 2018, 22:20
Official

Hello lwazikun,

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

We hereby confirm that a detailed email has been sent to you and we will await your reply.

Kind regards,

Bonitas Team

LK
Lwazi K's update29 Oct 2018, 15:02
Reviewer Update
Please re-send this detailed email and provide confirmation once done. I have not received anything yet.
Bonitas Medical Fund
Bonitas Medical Fund's reply18 Nov 2018, 10:21
Official
Hello lwazikun,
Thank you for submitting a comment to us through Hellopeter.
According to the email communication, we hereby confirm that your concern has been addressed and this matter has now been resolved.
As Bonitas we strive to give the best customer service to our clients and appreciate it when you bring your concerns to our attention when we have failed to deliver this service.
We apologise for any inconvenience caused to you.
Thanks and regards,
Bonitas Team