RL
Ruwaida L

1 reviews | Active since Aug 2014

28 Feb 2019, 08:56

Refusing to pay for my claim

I sent a complaint about bonitas refusing to pay my claim, and was told would get a call back and I am still waiting for the call:I went to the doctor and he sent me for a CT Scan on 9 January 2019 at Krugersdorp private hospital and when the doctors receptionist called the medical aid (Boncap) for authorisation they advised that they can only pay a certain portion, so I did not go to the hospital for a CT Scan I went to another xrays place that was a bit cheaper with their CT Scans, and I payed cash for the CT Scan because this xray place did not take medical aids they only accepted cash, I then put in a claim for the CT scan to the medical aid and was told it got rejected because as no authorisation was obtained for service date 29/01/2019. But we had asked for authorisation on 9 Jan and they said they would not pay in full, and when I went to the other xray place they said that they only do cash so how could I ask for authorisation if I was to pay cash, Boncap is a **** plan and I regret changing to this plan because now they refuse to pay my claim even though authorisation was asked

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Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply01 Mar 2019, 16:06
Official
Hello Ruweda,
Thank you for submitting your details to us through Hello Peter.
We have escalated your enquiry to BonCap department for investigations.
We sincerely apologise for the inconvenience.

Regards,

Bonitas