1 reviews | Active since Nov 2016
Useless not priceless...............Switch to NO MEDICAL AID.....
<p>When it says 100% in hospital cover - it doesn't mean that. It means oh, we will find a way to make you pay - so we introduce a "sub-limit" which is not in the benefit brochure.</p> <p> </p> <p>They send me a response on MY query - addressed to some random person - and tell me what I already know and then proceed to close the call..... UNRESOLVED.</p> <p> </p> <p>I then email them to ask for a decent response and get ignored. It's been a week and still no luck.</p> <p> </p> <p>The fee increase for next year is disgusting and I have queries about another plan - but try getting hold of them....</p> <p> </p> <p>Switch to Medical Aid (is the new slogan) - more like switch to NO Medical Aid.</p> <p> </p> <p>Really Frustrating.</p>
PT IN HOSPITAL
16/08/2 ********** 4 ********** Multi resp virus PCR Panel A Z01.7 1 1044.60
16/08/2 ********** 4 ********** Multi respiratory PCR Panel B Z01.7 1 1044.60
17/08/2 ********** 7 ********** C Reactive Protein Z01.7 1 143.20
17/08/2 ********** 7 ********** Blood Gas Profile Z01.7 1 250.60
01/09/2016 RCP Bonitas Medical Fund Payment -393.80
01/09/2016 RCP Bonitas Medical Fund Payment 0
01/09/2016 RCP Bonitas Medical Fund Payment 0
01/09/2016 RCP Bonitas Medical Fund Payment 0
01/09/2016 RCP Bonitas Medical Fund Payment 0
15/09/2016 RCP Bonitas Medical Fund Payment -1044.60
31/10/2016 RCP Bonitas Medical Fund Payment 0
Total Debits, Credits (14% VAT Included): 2483.00
Less Payments : 1438.40
Amount Outstanding : 1044.60
PT IN HOSPITAL
16/08/2 ********** 4 ********** Multi resp virus PCR Panel A Z01.7 1 1044.60
16/08/2 ********** 4 ********** Multi respiratory PCR Panel B Z01.7 1 1044.60
17/08/2 ********** 7 ********** C Reactive Protein Z01.7 1 143.20
17/08/2 ********** 7 ********** Blood Gas Profile Z01.7 1 250.60
01/09/2016 RCP Bonitas Medical Fund Payment -393.80
01/09/2016 RCP Bonitas Medical Fund Payment 0
01/09/2016 RCP Bonitas Medical Fund Payment 0
01/09/2016 RCP Bonitas Medical Fund Payment 0
01/09/2016 RCP Bonitas Medical Fund Payment 0
15/09/2016 RCP Bonitas Medical Fund Payment -1044.60
31/10/2016 RCP Bonitas Medical Fund Payment 0
Total Debits, Credits (14% VAT Included): 2483.00
Less Payments : 1438.40
Amount Outstanding : 1044.60
I am upset by the fact that I am receiving so many bills that are unpaid by doctors and pathologists.
Please advise me again – WHY? In-hospital benefits are supposed to be covered in FULL…..
WHY THEN AM I GETTING ALL THESE BILLS…….
I am upset by the fact that I am receiving so many bills that are unpaid by doctors and pathologists.
Please advise me again – WHY? In-hospital benefits are supposed to be covered in FULL…..
WHY THEN AM I GETTING ALL THESE BILLS…….
Dear Nthabiseng Mosehle,
Thank you for your query dated 28/10/2016.
With reference to query number 281016Q014SX.
We have tried to call you to give you feedback on your query and could not get hold of you.
Kindly note that the claim for Du Buisson, Bruinette, Kramer Inc dated 16/08/2016 for R1,044.60 for beneficiary, Mark Peter with code 3974 was paid correctly once at the Bonitas tariff of R1,044.60 as it is only payable once as per Scheme rules.
The second amount of R1,044.60 with the same code remains rejected by the Scheme.
Dear Nthabiseng Mosehle,
Thank you for your query dated 28/10/2016.
With reference to query number 281016Q014SX.
We have tried to call you to give you feedback on your query and could not get hold of you.
Kindly note that the claim for Du Buisson, Bruinette, Kramer Inc dated 16/08/2016 for R1,044.60 for beneficiary, Mark Peter with code 3974 was paid correctly once at the Bonitas tariff of R1,044.60 as it is only payable once as per Scheme rules.
The second amount of R1,044.60 with the same code remains rejected by the Scheme.
Good day,
FIRSTLY…. I have been in numerous meetings and unable to take your calls.
Secondly, WHO IS Nthabiseng Mosehle – YOU DO NOT even have the decency to address the mail to me.
Thirdly, I can see that the second claim remains rejected – MY QUERY IS WHY ?
THIS IS WHY I’M LOOKING AT LEAVING BONITAS.
You close the call – BUT RESOLVE NOTHING.
SOOOOO CHEESED OFF RIGHT NOW!!!!!!!!!!!!!!!!! I AM GOING TO FORWARD THIS TO THE MEDIA.
Good day,
FIRSTLY…. I have been in numerous meetings and unable to take your calls.
Secondly, WHO IS Nthabiseng Mosehle – YOU DO NOT even have the decency to address the mail to me.
Thirdly, I can see that the second claim remains rejected – MY QUERY IS WHY ?
THIS IS WHY I’M LOOKING AT LEAVING BONITAS.
You close the call – BUT RESOLVE NOTHING.
SOOOOO CHEESED OFF RIGHT NOW!!!!!!!!!!!!!!!!! I AM GOING TO FORWARD THIS TO THE MEDIA.
With reference to your query number 041116Q095M1.
Kindly be advised that, your claim for Mauff A C & Partners dated 27/08/2016 for an amount of R 354.20 was received and an amount of R 177.10 was paid on the 08/09/2016. Code 4566 for an amount of R 177.10 was charged twice but one rejected as code will only be paid up to the allowed quantity. This means that this code may only be charged and paid once. Nthabiseng Mosehle is the consultant from lancet that referred the query to us.
With reference to your query number 041116Q095M1.
Kindly be advised that, your claim for Mauff A C & Partners dated 27/08/2016 for an amount of R 354.20 was received and an amount of R 177.10 was paid on the 08/09/2016. Code 4566 for an amount of R 177.10 was charged twice but one rejected as code will only be paid up to the allowed quantity. This means that this code may only be charged and paid once. Nthabiseng Mosehle is the consultant from lancet that referred the query to us.
This doesn't even make sense...................
I referred the query myself and the amounts do not even correspond....
Like I said - USELESS.
This doesn't even make sense...................
I referred the query myself and the amounts do not even correspond....
Like I said - USELESS.
Hello Mickeyk4,
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
Hello Mickeyk4,
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
Have not had contact from your representative except an email to state what I obviously already know - and then the call is closed.
Do you think that by saying that Bonitas has responded automatically resolves the query and makes everything ok?
Really?
Have not had contact from your representative except an email to state what I obviously already know - and then the call is closed.
Do you think that by saying that Bonitas has responded automatically resolves the query and makes everything ok?
Really?