PN
Philile N

1 reviews | Active since Jan 2021

05 Sept 2024, 11:24

*****ulent claim done

I just called the Denis call center following up on the query i logged the case number for the call is ***, i Spoke to Bridget Williams she didn't understand my query when i asked to speak to a manager she said she is not allowed.

On the 29th of June 2024 a *****ulent claims were by Dr Nxumalo in 120 Mayibuye Drive, Umlazi.

I then notified the fund that my benifit was used and not by me.

Today following up speaking to Bridget asking her if my benifit was reversed said no they're not allowed to contact the Dental specialist, the Dr need to contact them so they can make a payment. So i asked her what must I do in the meantime since i want to use my benefit she didnt have an answer.

May you please assist with reversing the funds as i want to use the benefit.

0
Replies (8)
Bonitas Medical Fund
Bonitas Medical Fund's reply05 Sept 2024, 12:14
Official
Hello  Philile N 

Thank you for notifying us of your complaint. We are so sorry to hear about this, we are glad that you brought this to our attention to resolve.  We will investigate this matter.   We appreciate your patience while we are resolving this query for you.  
Kind Regards 

Bonitas 
PN
Philile N's update05 Sept 2024, 15:20
Reviewer Update
Im still not happy about the email that ive just received from Shavonne Sasma, she has sent me a statement that I have.

It can not be that everymonth that we pY thousands yet when we log queries that someone used my benefit i get sent a statement of account, it unfair and more wrong that medical aid is failing to reverse my benefit.

That means that this is an inside job, someone is selling our data and claiming *****ulent. That means bonitsa is a businesses of ***** if they can just fold their arms when you log a query.

Everymonth without i pay for my medical aid yet when i want to use it get a statement of clami used not by me, that is bull****
PN
Philile N's update05 Sept 2024, 15:20
Reviewer Update
Reverse my benefit now, i won't stop complaining till something is done.
PN
Philile N's update05 Sept 2024, 15:44
Reviewer Update
Ive been with bonitas for 9 yeats now and this is **** service im getting, Shavonne Sasma just reply that i should get ahold of a service provider, where? On what number because the details they have on file are not going through, so tell me where must i get ahold of them?

Im told that if im not happy with response then i should go to the ombudsman and say what to them because the medical is not reversing my claim?
PN
Philile N's update05 Sept 2024, 15:59
Reviewer Update
Its gets worse, im told that they started claiming from 2018 January 30 and that for further assistance i need to go to ombudsman. I'm definitely going to changemy service provider because bonitas give us *** services
PN
Philile N's update05 Sept 2024, 17:38
Reviewer Update
If there's one thing that im going to do is to cancel my membership with bonitas, im happy with the ******* service im getting.
PN
Philile N's update05 Sept 2024, 17:39
Reviewer Update
This practice has been claiming since 2018, imagen what else has been claimed without my knowledge.
PN
Philile N's update05 Sept 2024, 17:52
Reviewer Update
And if i didn't try to use my dental options, i was not going to be aware that this is happening, im not happy response im getting.