RR Mays

I was in the process of immigration to Portugal. On the 11 October 2023 I went to the Medscheme Walk Centre at Flora Centre Florida. I was referred to an agent Mrs C David's and I askedher the process of terminating my medical and the process of getting the 5 months of Chronic Medication. She informed me she can terminate the medical aid and I must go to Dischrm Pharmacy and collect the medication and pay for fir the 5 months medication and submit the receipt and the invoice of all the ICD codes and I must also send her a copy which she will submit from her side.

My medical aid termination date was the 31 October 2023. The claim for reimbur*****t of the monies I paid was submitted on the 17 October 2023. I received a email from Bonitas that the claim is been processed.

I left South Africa in the 18 October 2023 for Portugal. Numerous emails to Bonitas about when the reimbur*****t will be finalised and the response from November 2023 was I was not a member of Bonitas anymore. I contacted them telephonically and they said I did not follow process requesting the Chronic Medication which I responded I was given the process from agent Mrs C David's. I also informed them that the claim was submitted while I was an active member.

Email was sent to Bonitas for the reason for the delay in payment and I got a response from Agent Gugu Mutlanyane I did not belong to Bonitas Medical aid anymore and the the disclaimer clause was the reason for not paying. But the claim was submitted before the termination of cover.

I have been battling to get the reimbur*****t from Bonitas since November 2023 to April 2024.

What's frustrating I had to pay in advance for my medical for November 2023..

I will also be sending a complaint to Council of Medical Aid with my rejection of my claim