MT
Macheba T

1 reviews | Active since Apr 2015

18 Feb 2025, 10:08

Urgent Assistance Required: Claim Rejection for Contraceptive Coverage

I attempted to claim for a contraceptive—first Mirena, then Copper T—but the system keeps indicating that the claimable quantity has been exceeded. Initially, I thought this might be due to Mirena’s cost, so I asked my doctor to prescribe Copper T instead. However, I am still experiencing the same issue.

When I first called for assistance, I was told that the problem was related to my use of the Evra Patch. However, I did not collect it this month, yet the issue persists. What frustrates me the most is that, despite speaking to three different representatives, none of them could explain the exact problem. Instead, I have been informed that my case has been escalated to the pharmacy team, whose turnaround time is 20 days. Additionally, I was told they do not have a direct contact number, meaning I cannot follow up with them directly

0
Replies (6)
Bonitas Medical Fund
Bonitas Medical Fund's reply18 Feb 2025, 10:58
Official
Hello Macheba T
     
Thank you for notifying us of your complaint, we are sorry to hear about this, we are glad that you have brought this to our attention. 
         
Kindly provide your membership number or ID number of the principal member privately (to protect your personal information not to be visible on this public forum) to investigate your enquiry. 
          
Kind regards
     
 Bonitas Team 

Bonitas Medical Fund
Bonitas Medical Fund's reply18 Feb 2025, 11:18
Official
Hello Macheba T
 
Thank you for submitting the details to us through Hello Peter.
  
We will investigate this matter.

We appreciate your patience while we are resolving this query for you.
 
 Kind Regards
 
 Bonitas Team 

Bonitas Medical Fund
Bonitas Medical Fund's reply20 Feb 2025, 09:17
Official
Hello Macheba T

Thank you for submitting a comment to us through hellopeter.

According to the email communication, we hereby confirm that your concern has been addressed, and this matter has been resolved.

As Bonitas we strive to give the best customer service to our clients and appreciate it when you bring your concern to our attention when we have failed to deliver this service.

We apologise for any inconvenience caused to you.

Regards

Bonitas Team

MT
Macheba T's update20 Feb 2025, 09:23
Reviewer Update
Good day,

Please clarify which email you are referring to, this matter is still unresolved as I did not get any communication from you. I'm still waiting for you to clarify why I cannot claim for the contraceptive. I would appreciate it if you could please provide me with feedback.

Regards,

Macheba
MT
Macheba T's update20 Feb 2025, 09:30
Reviewer Update
I just received the email, thank you for the clarity.
Bonitas Medical Fund
Bonitas Medical Fund's reply20 Feb 2025, 09:35
Official
You are welcome.