Hellopeter
Share Your Experience

1 reviews | Active since Jul 2017

14 Jul 2017, 11:58

Refusing to pay claims, different excuses each time, queries never resolved!!

<p>From all the options my employer gave me why oh why did I choose Bonitas!! I have been with 2 other medical aids before and never have I had to deal with such!! My 3 year son had his teeth removed IN HOSPITAL and I app**** for authorisation which I received. I paid my co-payment as per the scheme rules and now Bonitas is refusing to pay the rest!!Why give someone authorisation if you are going to refuse to do your part. the hospital is still sending me statements showing that the admission fee has not been paid. WHYYYY!!! How many emails do I have to send before this thing gets sorted. First I was told it was not paid because I did not get authorisation BUT I DID!!!!!! Next thing im told its coz my savings are finshed but what the hell does savings have to do with this!!!THIS WAS A IN_HOSPITAL PROCEDURE!!!!THE AMOUNT IS FOR HOSPITAL ADMISSION!!!!!!!Everytime I call Im told to call Denis, when I call Denis Im told to call Bonitas. All this back and forth is ridiculous!!!!!! This issue needs to be resolved Its been 3 months now I cant keep emailing and calling about the same thing!!</p>

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Replies (4)
Bonitas Medical Fund
Bonitas Medical Fund's reply14 Jul 2017, 12:32
Official

Hello thelma-tee-tee-david,

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

's update21 Aug 2017, 12:10
Reviewer Update
It has been weeks and I still have not received feedback on whether this issue was sorted or not. The last time I heard from the consultant was on the 26th of July. I sent through the information and never heard back since. I even sent follow up emails but no response. Just when I started to have hope again you go back to being unresponsive. I am definitely going to consider switching to another medical aid. All this stress is not worth it.
's update21 Aug 2017, 12:10
Reviewer Update
It has been weeks and I still have not received feedback on whether this issue was sorted or not. The last time I heard from the consultant was on the 26th of July. I sent through the information and never heard back since. I even sent follow up emails but no response. Just when I started to have hope again you go back to being unresponsive. I am definitely going to consider switching to another medical aid. All this stress is not worth it.
's update04 Oct 2017, 13:59
Reviewer Update
It is almost 6 months and this is STILL NOT RESOLVED!!!!! How long does it take to resubmit a claim that should have been done correctly in the first place. I don't know how many times I have to email Lammetjie before I get a response. The hospital has even threatened to hand the account over to debt collecters and Lammetjie promised me and the hospital that the issue will be sorted out soon but still nothing!!!!! I'm really at a point now where I feel I need to involve my lawyers, this is unacceptable!!!