RC
Roxanne C

1 reviews | Active since Nov 2022

06 Nov 2022, 22:22

Valid membership number yet Bontias rejects claims.

Bonitas keeps rejecting my doctor visit claims as "membership number invalid" the number is correct and that same membership number is used at pharmacies and the claims are processed without a problem. As a result...I have had to pay for my doctor's visits since May and I am unable to claim from my gap cover as gap cover wants proof Bonitas has rejected this claims. I have contacted the call center where I was refused access to a manager as the agent wasn't assisting me then put on hold for 5mins when she eventually decided to hear my pleas to speak to someone senior only to be told the managers are in a meeting. I was promised by this call agent after I had to run around getting proof from the doctors that my claims were submitted by them the rejections would show on my membership statement which I would receive in the beginning of Nov...statement arrived with no rejections...so I pay medical aid and gap cover monthly but still end up paying for my doctors visits from my pocket due to some system issue that can not be explained.

0
Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply07 Nov 2022, 07:31
Official
Hello Roxanne C

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 


RC
Roxanne C's update11 Nov 2022, 10:22
Reviewer Update
Bonitas has not bothered to contact me since making this complaint. I called Bonitas on Wednesday 9th November and specifically requested the person investigating this complaint to call me. I believe their name is Lumna...yet 48hrs late still no attempt to make contact nor resolve this complaint.