1 reviews | Active since Jul 2013
VERY ANGRY!!!Constant uphill battle for payments and refunds!
<p>Thats contrary to everything your company has said for the last 2months!!!! You are so full *******!!!! I am printing all of this and prosecuting and reporting this bull****!!! How can you suddenly find a new bull**** excuse after months! Over R800 odd! This is a new low for you guys,!</p> <p>Without prejudice or judicial consequence (or prosecution),</p> <p>Taryn Drazek<br />(unavailable telephonically daily from 07:00-15:00)</p> <p> </p> <p><br />Dear Miss Taryn Mariana Drazek, </p> <p>Member Number : ********** 3366 <br />Query Number : 070717QD5S7Y <br />Query Type : PROCESSED CLAIMS-LIMITS REACHED </p> <p>We acknowledge receipt of your email dated 07th of July 2017.</p> <p>Please note that the risk gynaecologist consultation visit is allowed for pregnancy related once year, your consultation was not maternity related and it has been processed from your day to day benefit limit, however the benefit were used up. </p> <p>Should you require any further information, please contact customer services on ***or email<br />us ********** or should you wish to compliment on the service received, please do not<br />hesitate to use the following link: http://www.hellopeter.com </p> <p>"Did you know? </p> <p>You can access medical aid benefits, tax certificates, claims statements and any other information relating to your<br />membership enquiries on the Bonitas website. </p> <p>Register at www.bonitas.co.zatoday, and enjoy the convenience of having access to your medical aid information <br />24 hours a day, 7 days a week." </p> <p>Please update your personal details on a regular basis, to ensure that you receive the latest updates from Bonitas. </p> <p>Best Wishes,</p> <p>Raymond Mbonyana </p> <p> </p> <p> </p> <p><br />Dear Miss Drazek,</p> <p>Thank you for notifying us of your complaint.</p> <p>We have been trying to contact you after 15:00 pm on several occasions to discuss your query in detail, however we could not reach you.</p> <p>As previously communicated, the claim for Dr Mjoli was submitted first time on the 21/02/2017, due to the system glitch the claim was rejected for a specialist referral number.</p> <p>The claim was reprocessed on the 09/06/2017 without a specialist referral authorisaion as female member gets one gynaecologist visit a year without referral. The specialist consultations are paid from the day-to-day benefits. The claim has been zero paid as your day to day benefit limit has been used up.</p> <p>Please note that your day to day benefit has been used to fund all your claims that are subject to this benefit prior to the reprocessing of the claim in question. Therefore the claim has been correctly processed.</p> <p>We apologise for any inconvenience caused to you.</p> <p>Best wishes,</p> <p>Lammetjie Mthetwa</p> <p> </p> <p> </p> <p>It is your glitch and your issues. Therefore, pay her! There is no way around this. Your company *****ed up. Not me. Nor the doctor. Find the money and pay her.</p> <p>I work 2 jobs and have clients after hours, and have learnt that via writing I can build up my evidence in black and white.</p> <p>Kindly note that all of this gets forwarded to Dr Mjoli and this will be referred to higher authorities. I think I should also consider laying charges with the S.A.P.S. as your company messed up and is trying to make me pay for something, when both the doctor and I did more than our part.</p> <p>I know my rights and I am a persistent little pitbull when such blatant injustices are being done, and you are all acting like I'm to blame. Your glitch, your consultants messing up with processing incorrectly on various dates. Not my problem,nor the Doctor's. Pay her.</p> <p>Without prejudice or judicial consequence (or prosecution),</p> <p>Taryn Drazek<br />(unavailable telephonically daily from 07:00-15:00)</p> <p> </p> <p> </p> <p> </p> <p>Jeez!!</p> <p>Are you ****ing kidding me?! If they ****ing processed processed it on 21/02/17 when I had not used up my funds and your rules state I'm allowed one ****** damn visit to the gynaecologist per year, then ****ing pay the doctor!!!! Every day you guys try use the same excuse!!!! My niceness and patience has run out!</p> <p>Mark my words, if she's not paod by Tuesday the latest, I will lay charges of ***** with the S.A.P.S. and cause a huge media debacle. This is ridiculous!</p> <p>Without prejudice or judicial consequence (or prosecution),</p> <p>Taryn Drazek<br />(unavailable telephonically daily from 07:00-15:00)</p> <p>IMG_ ********** 0_161722.png</p> <p>IMG_ ********** 4_194909.png</p> <p> </p> <p>Final warning. Pay Dr. Mjoli. The last I heard last week this matter was being investigated by superiors. I will lay charges at tge S.A.P.S.</p> <p>Without prejudice or judicial consequence (or prosecution),</p> <p>Taryn Drazek<br />(unavailable telephonically daily from 07:00-15:00)</p> <p>IMG_ ********** 0_161722.png</p> <p>IMG_ ********** 4_194909.png</p> <p> </p> <p>On the date that the Dr rooms submitted the claim, there was still funds available in the day to day benefits. In my previous emails I illustrated this even underlining in colour. And I'm allowed one visit per year to the gynaecologist. Investigate this before regurgitating previously used excuses and bull****. I will take this to court if you want and lay charges against your company and I will sue your company for my lost time and stress of this ****!!sort this out before I make this very ugly for you all and prove your false advertising! Use my previous communication with the useless people handling this matter to investigate my claims, for Goodness sake! I cant pay you, do your jobs for you and still have to pay for a ****ing pap smear while you all run circles around bull**** excuses which are contradictory.</p> <p>Without prejudice or judicial consequence (or prosecution),</p> <p>Taryn Drazek<br />(unavailable telephonically daily from 07:00-15:00)</p> <p> </p> <p> </p> <p> </p> <p><br />Dear Taryn Drazek,</p> <p>Thank you for your email dated 21/06/2017.</p> <p>With reference to the query number 210617QBF9TM.</p> <p>Kindly be advised that as per our records claim for Dr Mjoli for the service dated 13/02/2017 for Taryn Mariana, with an amount of R883.80 was submitted first time on the 21/02/2017 and it was rejected as specialist referral number is required.</p> <p>Claim was reprocessed on the 09/06/2017 and it was rejected as benefit limits have been used up. Specialist consultations are paid from available day-to-day benefits.</p> <p>As at this date of this email your available day to day benefits is R0.00.</p> <p>Claims are paid as per scheme rules and based on available benefits at the time of processing. The fund will pay all claims at the Bonitas Scheme Rate. If your health care provider charges more than the Bonitas Scheme Rates, the member is liable to pay for the difference.</p> <p>Should you require any further information, please contact customer services on ********** 108 or email us at ********** or should you wish to compliment on the service received, please do not hesitate to use the following link:http://www.hellopeter.com.</p> <p>"Did you know?</p> <p>You can access medical aid benefits, tax certificates, claims statements and any other information relating to your membership enquiries on the Bonitas website.</p> <p>Register at www.bonitas.co.za today, and enjoy the convenience of having access to your medical aid information 24 hours a day, 7 days a week."</p> <p>Please update your personal details on a regular basis, to ensure that you receive the latest updates from Bonitas.</p> <p>Kind regards,</p> <p>Dorah Maboe</p> <p> </p> <p><br />Dear Taryn Drazek,</p> <p>Thank you for your email dated 21/06/2017.</p> <p>With reference to the query number 210617QBF9TM.</p> <p>Kindly be advised that as per our records claim for Dr Mjoli for the service dated 13/02/2017 for Taryn Mariana, with an amount of R883.80 was submitted first time on the 21/02/2017 and it was rejected as specialist referral number is required.</p> <p>Claim was reprocessed on the 09/06/2017 and it was rejected as benefit limits have been used up. Specialist consultations are paid from available day-to-day benefits.</p> <p>As at this date of this email your available day to day benefits is R0.00.</p> <p>Claims are paid as per scheme rules and based on available benefits at the time of processing. The fund will pay all claims at the Bonitas Scheme Rate. If your health care provider charges more than the Bonitas Scheme Rates, the member is liable to pay for the difference.</p> <p>Should you require any further information, please contact customer services on ********** 108 or email us at ********** or should you wish to compliment on the service received, please do not hesitate to use the following link:http://www.hellopeter.com.</p> <p>"Did you know?</p> <p>You can access medical aid benefits, tax certificates, claims statements and any other information relating to your membership enquiries on the Bonitas website.</p> <p>Register at www.bonitas.co.za today, and enjoy the convenience of having access to your medical aid information 24 hours a day, 7 days a week."</p> <p>Please update your personal details on a regular basis, to ensure that you receive the latest updates from Bonitas.</p> <p>Kind regards,</p> <p>Dorah Maboe</p> <p> </p> <p><br />Dear Taryn Drazek,</p> <p>Thank you for your email dated 21/06/2017.</p> <p>With reference to the query number 210617QBF9TM.</p> <p>Kindly be advised that as per our records claim for Dr Mjoli for the service dated 13/02/2017 for Taryn Mariana, with an amount of R883.80 was submitted first time on the 21/02/2017 and it was rejected as specialist referral number is required.</p> <p>Claim was reprocessed on the 09/06/2017 and it was rejected as benefit limits have been used up. Specialist consultations are paid from available day-to-day benefits.</p> <p>As at this date of this email your available day to day benefits is R0.00.</p> <p>Claims are paid as per scheme rules and based on available benefits at the time of processing. The fund will pay all claims at the Bonitas Scheme Rate. If your health care provider charges more than the Bonitas Scheme Rates, the member is liable to pay for the difference.</p> <p>Should you require any further information, please contact customer services on ********** 108 or email us at ********** or should you wish to compliment on the service received, please do not hesitate to use the following link:http://www.hellopeter.com.</p> <p>"Did you know?</p> <p>You can access medical aid benefits, tax certificates, claims statements and any other information relating to your membership enquiries on the Bonitas website.</p> <p>Register at www.bonitas.co.za today, and enjoy the convenience of having access to your medical aid information 24 hours a day, 7 days a week."</p> <p>Please update your personal details on a regular basis, to ensure that you receive the latest updates from Bonitas.</p> <p>Kind regards,</p> <p>Dorah Maboe</p> <p> </p> <p> </p> <p> </p>
Hello taryndra,
Thank you for submitting a comment to us through Hellopeter.
Our representative could not get hold of you on several occasions to discuss your query in detail. We hereby confirm that a detailed email has been sent to you and this matter has now been resolved.
As Bonitas we strive to give the best customer service to our clients and appreciate it when you bring your concerns to our attention when we have failed to deliver this service.
We apologise for any inconvenience caused to you.
Thanks and regards,
Bonitas Team.
Hello taryndra,
Thank you for submitting a comment to us through Hellopeter.
Our representative could not get hold of you on several occasions to discuss your query in detail. We hereby confirm that a detailed email has been sent to you and this matter has now been resolved.
As Bonitas we strive to give the best customer service to our clients and appreciate it when you bring your concerns to our attention when we have failed to deliver this service.
We apologise for any inconvenience caused to you.
Thanks and regards,
Bonitas Team.
The matter has not been resolved, a representative has been trying to phone me from unidentified numbers apparently whilr I'm working 2 jobs. I will be driving through to head office on Friday with all my evidence, that I will be printing today to fight this and prove your company wrong in.black.and white. And I will be taking this much further.
The matter has not been resolved, a representative has been trying to phone me from unidentified numbers apparently whilr I'm working 2 jobs. I will be driving through to head office on Friday with all my evidence, that I will be printing today to fight this and prove your company wrong in.black.and white. And I will be taking this much further.
I will be coming on Moday, with my mother who will be fighting with you about why my fathers specialist's visit (for his chronic illness) hasn't been paid... this issue of what was processed when and how is soley your company's fault. The doctor processed the claim when I still had benefits. I didn't need a specialist letter, as stated several billion times before. The "glitch" is your systems problem. SUDDENLY using a new excuse about the fact that SUDDENLY it will only be paid if it's maternity related is utter ******* and a feeble excuse. After 2/3months of this nonsense, how do you suddenly find this as an excuse? I constantly have quoted your own words and e-mails, with pictures and my own highliting to show you that your are contradicting yourselves, and at the end of the day, it all reverts back to the fact that both the doctor and I both did our part, there were funds in my day-to-day benefits at that time, and the fact that your company processed this claim and rejected it on the basis of "needing a specialist refererral" is NOT MY NOR THE DOCTORS fault.
AGAIN I state, pay the doctor! Never has the excuse of "maternity related" **** been used in all these months. A gynaecological visit for a pap-smear and check up ONCE per anum is allowed. it is stated so. WITHOUT a referral letter.
EVERYTHING I submit, everything that happens where I have to even go to an emergency room, is a hassle to process IF you ever even process the claims. I basically have been paying nearly everything since February!
I will be coming on Moday, with my mother who will be fighting with you about why my fathers specialist's visit (for his chronic illness) hasn't been paid... this issue of what was processed when and how is soley your company's fault. The doctor processed the claim when I still had benefits. I didn't need a specialist letter, as stated several billion times before. The "glitch" is your systems problem. SUDDENLY using a new excuse about the fact that SUDDENLY it will only be paid if it's maternity related is utter ******* and a feeble excuse. After 2/3months of this nonsense, how do you suddenly find this as an excuse? I constantly have quoted your own words and e-mails, with pictures and my own highliting to show you that your are contradicting yourselves, and at the end of the day, it all reverts back to the fact that both the doctor and I both did our part, there were funds in my day-to-day benefits at that time, and the fact that your company processed this claim and rejected it on the basis of "needing a specialist refererral" is NOT MY NOR THE DOCTORS fault.
AGAIN I state, pay the doctor! Never has the excuse of "maternity related" **** been used in all these months. A gynaecological visit for a pap-smear and check up ONCE per anum is allowed. it is stated so. WITHOUT a referral letter.
EVERYTHING I submit, everything that happens where I have to even go to an emergency room, is a hassle to process IF you ever even process the claims. I basically have been paying nearly everything since February!
My monday visit with my file of evidence, will be unfortunately your last chance to ACTUALLY resolve this issue sensibly, as your company has wasted so much of my vaulable time and energy, further worsening my stress and anxiety levels, which in turn, will inevitably prove to lead to more doctor's and psychological visits. I though you were supposed to HELP people who pay your company for a service? why must I spend my days pointing out your mistakes and contradictions, which constantly point to your company being at fault, and not the Doctor, not I? Will you pay me for this wasted time? or should I sue for damages? without prejudice or judicial consequences, Taryn Drazek
My monday visit with my file of evidence, will be unfortunately your last chance to ACTUALLY resolve this issue sensibly, as your company has wasted so much of my vaulable time and energy, further worsening my stress and anxiety levels, which in turn, will inevitably prove to lead to more doctor's and psychological visits. I though you were supposed to HELP people who pay your company for a service? why must I spend my days pointing out your mistakes and contradictions, which constantly point to your company being at fault, and not the Doctor, not I? Will you pay me for this wasted time? or should I sue for damages? without prejudice or judicial consequences, Taryn Drazek
AND FIX MY FREAKING ADDRESS TO 35 HILLS ROAD, SELECTION PARK, SPRINGS, 1559 ON MY TAX CERTIFICATE AND RE-SEND IT TO ME!
I HAVE TOLD YOUR COMPANY THIS ABOUT THIS ADDRESS ISSUE 3/4 TIMES NOW!!!
ACT LIKE ****** PROFESSIONALS AND STOP MAKING CLIENTS WHO PAY YOU UNHAPPY, AND UPSET EVERY TIME THEY GET ILL, WHEN THEY TRY GET BETTER, AND UTTERLY ENRAGED WHEN WE SEE THE NAME "BONITAS" ON AN E-MAIL OR THE FALSE ADVERTISING ON T.V.
without prejudice or judicial consqeunces
AND FIX MY FREAKING ADDRESS TO 35 HILLS ROAD, SELECTION PARK, SPRINGS, 1559 ON MY TAX CERTIFICATE AND RE-SEND IT TO ME!
I HAVE TOLD YOUR COMPANY THIS ABOUT THIS ADDRESS ISSUE 3/4 TIMES NOW!!!
ACT LIKE ****** PROFESSIONALS AND STOP MAKING CLIENTS WHO PAY YOU UNHAPPY, AND UPSET EVERY TIME THEY GET ILL, WHEN THEY TRY GET BETTER, AND UTTERLY ENRAGED WHEN WE SEE THE NAME "BONITAS" ON AN E-MAIL OR THE FALSE ADVERTISING ON T.V.
without prejudice or judicial consqeunces
Dear Miss Taryn Mariana Drazek,
Member Number : ********** 3366
Query Number : 120717QDDN93
Query Type : MAINTENANCE-PRINCIPLE MEMBER DETAILS CHANGE
Thank you for your email dated 12/07/2017.
With reference to your query number: 120717QDDN93.
As per our records the address that we were requested to update was as per reference 060216QLYDV6, you asked Bonitas to change to:
41 SUNSET BOULEVARD
CIVIN STREET
SONNEVELD
BRAKPAN
1541
The below postal address has been updated recently as per reference on the 09/06/2017 and this was after the Tax certificates were finalised.
35 HILLS ROAD
SELECTION PARK
SPRINGS
1559
We have sent your query to our I.T. department in order for the 2017 Tax certificate address to be changed.
Should you require any further information, please contact customer services on ***or email
us ********** or should you wish to compliment on the service received, please do not
hesitate to use the following link: http://www.hellopeter.com
"Did you know?
You can access medical aid benefits, tax certificates, claims statements and any other information relating to your
membership enquiries on the Bonitas website.
Register at www.bonitas.co.zatoday, and enjoy the convenience of having access to your medical aid information
24 hours a day, 7 days a week."
Please update your personal details on a regular basis, to ensure that you receive the latest updates from Bonitas.
Best Wishes,
Hloniphile Madlopha
Dear Miss Taryn Mariana Drazek,
Member Number : ********** 3366
Query Number : 120717QDDN93
Query Type : MAINTENANCE-PRINCIPLE MEMBER DETAILS CHANGE
Thank you for your email dated 12/07/2017.
With reference to your query number: 120717QDDN93.
As per our records the address that we were requested to update was as per reference 060216QLYDV6, you asked Bonitas to change to:
41 SUNSET BOULEVARD
CIVIN STREET
SONNEVELD
BRAKPAN
1541
The below postal address has been updated recently as per reference on the 09/06/2017 and this was after the Tax certificates were finalised.
35 HILLS ROAD
SELECTION PARK
SPRINGS
1559
We have sent your query to our I.T. department in order for the 2017 Tax certificate address to be changed.
Should you require any further information, please contact customer services on ***or email
us ********** or should you wish to compliment on the service received, please do not
hesitate to use the following link: http://www.hellopeter.com
"Did you know?
You can access medical aid benefits, tax certificates, claims statements and any other information relating to your
membership enquiries on the Bonitas website.
Register at www.bonitas.co.zatoday, and enjoy the convenience of having access to your medical aid information
24 hours a day, 7 days a week."
Please update your personal details on a regular basis, to ensure that you receive the latest updates from Bonitas.
Best Wishes,
Hloniphile Madlopha
Dear Hloniphile Madlopha,
If you want me to.sit and page through my records and e-mails I can show you proof. But theb you will also be wasting my time and energy.
Please change your attitude and handle a ****ed off client better, or apply for training to improve your performance. Here's a tip for client services, free of charge where I charge R450 an hour actually... never underestimate your clients and their knowledge. Also, never underestimate their abilities, ability to keep avidence and who they may or may not know.
Without prejudice or judicial consequence (or prosecution),
Taryn Drazek
(unavailable telephonically daily from 07:00-15:00)
Dear Hloniphile Madlopha,
If you want me to.sit and page through my records and e-mails I can show you proof. But theb you will also be wasting my time and energy.
Please change your attitude and handle a ****ed off client better, or apply for training to improve your performance. Here's a tip for client services, free of charge where I charge R450 an hour actually... never underestimate your clients and their knowledge. Also, never underestimate their abilities, ability to keep avidence and who they may or may not know.
Without prejudice or judicial consequence (or prosecution),
Taryn Drazek
(unavailable telephonically daily from 07:00-15:00)
Dear Miss Taryn Mariana Drazek,
Member Number : ********** 3366
Query Number : 130717QDGXYV
Query Type : IN PROCESSING-READY TO PAY
Thank you for your enquiry dated 13/07/2017,
The claim for Dr Mjoli service date 13/02/2017, for an amount of R883.80 rejected as benefit limits and/or savings have been used up.
NB: Payment of claims is based on the Scheme Rules and availability of benefits at the time of processing
We apologize for the delayed response.
Kindly update your personal details on a regular basis, to ensure that you receive the latest updates from Bonitas.
Regards
Thembi Mthethwa.
Should you require any further information, please contact customer services on ***or email
us at ********** or should you wish to compliment on the service received, please do not
hesitate to use the following link: http://www.hellopeter.com
"Did you know?
You can access medical aid benefits, tax certificates, claims statements and any other information relating to your
membership enquiries on the Bonitas website.
Register at www.bonitas.co.za today, and enjoy the convenience of having access to your medical aid information
24 hours a day, 7 days a week."
Please update your personal details on a regular basis, to ensure that you receive the latest updates from Bonitas.
Best Wishes,
Thembi Mthethwa (Madondo)
Dear Miss Taryn Mariana Drazek,
Member Number : ********** 3366
Query Number : 130717QDGXYV
Query Type : IN PROCESSING-READY TO PAY
Thank you for your enquiry dated 13/07/2017,
The claim for Dr Mjoli service date 13/02/2017, for an amount of R883.80 rejected as benefit limits and/or savings have been used up.
NB: Payment of claims is based on the Scheme Rules and availability of benefits at the time of processing
We apologize for the delayed response.
Kindly update your personal details on a regular basis, to ensure that you receive the latest updates from Bonitas.
Regards
Thembi Mthethwa.
Should you require any further information, please contact customer services on ***or email
us at ********** or should you wish to compliment on the service received, please do not
hesitate to use the following link: http://www.hellopeter.com
"Did you know?
You can access medical aid benefits, tax certificates, claims statements and any other information relating to your
membership enquiries on the Bonitas website.
Register at www.bonitas.co.za today, and enjoy the convenience of having access to your medical aid information
24 hours a day, 7 days a week."
Please update your personal details on a regular basis, to ensure that you receive the latest updates from Bonitas.
Best Wishes,
Thembi Mthethwa (Madondo)
Absoute bull****!!!! I will be taking.this further and will copy paste and harrass you all with paying her. There were funds in my ****ing benefits when the doctor processed this!!! One of your ****head consultants ****ed up by putting in through as needing a referral.letter, which is against ****ing scheme rules, there was apparently a ****ing glitch with your system!!! Pay the doctor,!!! YOUR COMPANY *****ED UP YOU FOOL
https://www.hellopeter.com/bonitas/reviews/very-angry-constant-uphill-battle-for-payments-and-refunds- **********
Without prejudice or judicial consequence (or prosecution),
Taryn Drazek
(unavailable telephonically daily from 07:00-15:00)
From: ********** />Sent: Tuesday, 25 July, 15:37
Subject: Closure of Query [MI ********** 22]
To: **********
Dear Miss Taryn Mariana Drazek,
Member Number : ********** 3366
Query Number : 130717QDGXYV
Query Type : IN PROCESSING-READY TO PAY
Thank you for your enquiry dated 13/07/2017,
The claim for Dr Mjoli service date 13/02/2017, for an amount of R883.80 rejected as benefit limits and/or savings have been used up.
NB: Payment of claims is based on the Scheme Rules and availability of benefits at the time of processing
We apologize for the delayed response.
Kindly update your personal details on a regular basis, to ensure that you receive the latest updates from Bonitas.
Regards
Thembi Mthethwa.
https://www.hellopeter.com/bonitas/reviews/very-angry-constant-uphill-battle-for-payments-and-refunds- **********
Should you require any further information, please contact customer services on ***or email
us at ********** or should you wish to compliment on the service received, please do not
hesitate to use the following link: http://www.hellopeter.com
"Did you know?
You can access medical aid benefits, tax certificates, claims statements and any other information relating to your
membership enquiries on the Bonitas website.
Register at www.bonitas.co.za today, and enjoy the convenience of having access to your medical aid information
24 hours a day, 7 days a week."
Please update your personal details on a regular basis, to ensure that you receive the latest updates from Bonitas.
Best Wishes,
Thembi Mthethwa (Madondo)
Absoute bull****!!!! I will be taking.this further and will copy paste and harrass you all with paying her. There were funds in my ****ing benefits when the doctor processed this!!! One of your ****head consultants ****ed up by putting in through as needing a referral.letter, which is against ****ing scheme rules, there was apparently a ****ing glitch with your system!!! Pay the doctor,!!! YOUR COMPANY *****ED UP YOU FOOL
https://www.hellopeter.com/bonitas/reviews/very-angry-constant-uphill-battle-for-payments-and-refunds- **********
Without prejudice or judicial consequence (or prosecution),
Taryn Drazek
(unavailable telephonically daily from 07:00-15:00)
From: ********** />Sent: Tuesday, 25 July, 15:37
Subject: Closure of Query [MI ********** 22]
To: **********
Dear Miss Taryn Mariana Drazek,
Member Number : ********** 3366
Query Number : 130717QDGXYV
Query Type : IN PROCESSING-READY TO PAY
Thank you for your enquiry dated 13/07/2017,
The claim for Dr Mjoli service date 13/02/2017, for an amount of R883.80 rejected as benefit limits and/or savings have been used up.
NB: Payment of claims is based on the Scheme Rules and availability of benefits at the time of processing
We apologize for the delayed response.
Kindly update your personal details on a regular basis, to ensure that you receive the latest updates from Bonitas.
Regards
Thembi Mthethwa.
https://www.hellopeter.com/bonitas/reviews/very-angry-constant-uphill-battle-for-payments-and-refunds- **********
Should you require any further information, please contact customer services on ***or email
us at ********** or should you wish to compliment on the service received, please do not
hesitate to use the following link: http://www.hellopeter.com
"Did you know?
You can access medical aid benefits, tax certificates, claims statements and any other information relating to your
membership enquiries on the Bonitas website.
Register at www.bonitas.co.za today, and enjoy the convenience of having access to your medical aid information
24 hours a day, 7 days a week."
Please update your personal details on a regular basis, to ensure that you receive the latest updates from Bonitas.
Best Wishes,
Thembi Mthethwa (Madondo)
On the date that the Dr rooms submitted the claim, there was still funds available in the day to day benefits. In my previous emails I illustrated this even underlining in colour. And I'm allowed one visit per year to the gynaecologist. Investigate this before regurgitating previously used excuses and bull****. I will take this to court if you want and lay charges against your company and I will sue your company for my lost time and stress of this ****!!sort this out before I make this very ugly for you all and prove your false advertising! Use my previous communication with the useless people handling this matter to investigate my claims, for Goodness sake! I cant pay you, do your jobs for you and still have to pay for a ****ing pap smear while you all run circles around bull**** excuses which are contradictory.
this issue of what was processed when and how is soley your company's fault. The doctor processed the claim when I still had benefits. I didn't need a specialist letter, as stated several billion times before. The "glitch" is your systems problem. SUDDENLY using a new excuse about the fact that SUDDENLY it will only be paid if it's maternity related is utter ******* and a feeble excuse. After 2/3months of this nonsense, how do you suddenly find this as an excuse? I constantly have quoted your own words and e-mails, with pictures and my own highliting to show you that your are contradicting yourselves, and at the end of the day, it all reverts back to the fact that both the doctor and I both did our part, there were funds in my day-to-day benefits at that time, and the fact that your company processed this claim and rejected it on the basis of "needing a specialist refererral" is NOT MY NOR THE DOCTORS fault.
AGAIN I state, pay the doctor! Never has the excuse of "maternity related" **** been used in all these months. A gynaecological visit for a pap-smear and check up ONCE per anum is allowed. it is stated so. WITHOUT a referral letter.
EVERYTHING I submit, everything that happens where I have to even go to an emergency room, is a hassle to process IF you ever even process the claims. I basically have been paying nearly everything since February!
https://www.hellopeter.com/bonitas/reviews/very-angry-constant-uphill-battle-for-payments-and-refunds- **********
Without prejudice or judicial consequence (or prosecution),
Taryn Drazek
(unavailable telephonically daily from 07:00-15:00)
On the date that the Dr rooms submitted the claim, there was still funds available in the day to day benefits. In my previous emails I illustrated this even underlining in colour. And I'm allowed one visit per year to the gynaecologist. Investigate this before regurgitating previously used excuses and bull****. I will take this to court if you want and lay charges against your company and I will sue your company for my lost time and stress of this ****!!sort this out before I make this very ugly for you all and prove your false advertising! Use my previous communication with the useless people handling this matter to investigate my claims, for Goodness sake! I cant pay you, do your jobs for you and still have to pay for a ****ing pap smear while you all run circles around bull**** excuses which are contradictory.
this issue of what was processed when and how is soley your company's fault. The doctor processed the claim when I still had benefits. I didn't need a specialist letter, as stated several billion times before. The "glitch" is your systems problem. SUDDENLY using a new excuse about the fact that SUDDENLY it will only be paid if it's maternity related is utter ******* and a feeble excuse. After 2/3months of this nonsense, how do you suddenly find this as an excuse? I constantly have quoted your own words and e-mails, with pictures and my own highliting to show you that your are contradicting yourselves, and at the end of the day, it all reverts back to the fact that both the doctor and I both did our part, there were funds in my day-to-day benefits at that time, and the fact that your company processed this claim and rejected it on the basis of "needing a specialist refererral" is NOT MY NOR THE DOCTORS fault.
AGAIN I state, pay the doctor! Never has the excuse of "maternity related" **** been used in all these months. A gynaecological visit for a pap-smear and check up ONCE per anum is allowed. it is stated so. WITHOUT a referral letter.
EVERYTHING I submit, everything that happens where I have to even go to an emergency room, is a hassle to process IF you ever even process the claims. I basically have been paying nearly everything since February!
https://www.hellopeter.com/bonitas/reviews/very-angry-constant-uphill-battle-for-payments-and-refunds- **********
Without prejudice or judicial consequence (or prosecution),
Taryn Drazek
(unavailable telephonically daily from 07:00-15:00)
Read the entire complaint! All was submitted during the period when I had funds in my day to day benefits. I'm allowed 1 gynaecologist visit per year without a specialust referral, and some idiot in your company processed it as as needing a specialist referral and it was rejected! Obviously if you try reprocess it when I know theres no funds left in my day to day benefits months after, it will reject the claim. Find the idiot/idiots who made the initial ***** up with the claim and make them pay! YOU OWE THE DOCTOR. NOT ME!!! Ally evidence is in order to present to higher authorities. You guys *****ed up with the processing and went against your own scheme rules. Neither the doctor nor I are at fault! Pay her!
Read the entire complaint! All was submitted during the period when I had funds in my day to day benefits. I'm allowed 1 gynaecologist visit per year without a specialust referral, and some idiot in your company processed it as as needing a specialist referral and it was rejected! Obviously if you try reprocess it when I know theres no funds left in my day to day benefits months after, it will reject the claim. Find the idiot/idiots who made the initial ***** up with the claim and make them pay! YOU OWE THE DOCTOR. NOT ME!!! Ally evidence is in order to present to higher authorities. You guys *****ed up with the processing and went against your own scheme rules. Neither the doctor nor I are at fault! Pay her!