JP
Jermaine P

1 reviews | Active since Apr 2013

11 May 2017, 12:43

refuses to pay even tho i am covered

<p>So last year I had cover 2016 for a specific service, this year this cover has been removed without me being aware but that’s fine. The fact is a claim was submitted last year and I have the reference to prove this 070916QXTTR3. When the practice re-submitted the claim in 2017 it was rejected as the cover no longer exists, fine but then why wasn’t the 2016 claim approved? So I followed up and the call centre person advised me that yes you will then be covered for that claim and here is that reference number 290317Q6XWXY. Now today I speak to Zoleka ref 110517Q8M06D and once again I’m told its rejected and the first ref is "an estimate" not a claim??? *** it was a quote and motivational letter which required approval prior to an invoice to be sent, again contradicts to what ref #2 confirmed, I get so frustrated with this medical aid that tries to get out of paying claims.... I hope someone with half a brain and moral can just approve the claim</p> <p> </p>

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Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply11 May 2017, 12:59
Official

Hello HelloJP123

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