BS
Boipelo S

1 reviews | Active since Dec 2013

22 Jul 2016, 13:32

The worst service from a medical aid

<p>I am so disappointed in Bonitas, I have heard and read a whole lot of negative stories about Bonitas but I never thought I would experience such bad service from them. My daughter was admitted to hospital in April 2016, and while she was there (for 5 days), the paediatrician requested that they run different tests on her. The claims department has rejected one of the claims because 2 tests were done under one code (but there is a valid explanation for this). I sent through a letter from the pathologists explaining why that was so, but I still cannot seem to get a positive response. I have been calling for the last 2 months trying to get an explanantion as to why the claim has not been settled, even after I submitted the explaining letter. The call centre agents are clueless on what is supposed to happen next and each one keeps telling me a different story. Meanwhile, I pay my medical aid premiums every month and the pathologist bill is still not settled. I regret joining this medical aid and i do not foresee a long term relationship between myself and Bonitas if this is the treatment that I must get. the service i have received is bad and the fact that no one seems to offer a better explanation as to why the claim is still being rejected irritates me the most. Can someone do something, surely this cannot be right!!!</p>

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Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply22 Jul 2016, 15:13
Official
Hello Boipelo_, 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