Bonitas Medical Fund reviews & complaints 84
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medical aid medication claim hospital bonitas feedback service member membership covered rejection penalty waiting period disgusted bill pay response surgery consultant paidNewest Bonitas Medical Fund reviews & complaints
No correspondence, feedback or response
On the [protected] Mpho Matsimela emailed me the forms to register with Bonitas medical adi scheme. On the [protected] i completed all the forms and faxed through all documents that were requested. I did speak to Mpho telephonically who then confirmed receipt of the documents and advised me that all was in order. I waited a few weeks and hadnt received any further correspondence so on the [protected] i emailed Mpho who then contacted my husband and advised me that our application had been declined because his bank statement was outstanding. Firstly they didnt request the bank statement and secondly when i queried if all the documents were correct he did confirm. on the [protected] i emailed both Mpho and customer services and to date have not received any correspondence. On the 3112009 i resubmitted all documentation including the bank statement and still no update on whats going on. I have even received a read receipt from Mpho but no HELP! i cant believe BONITAS service. they have such ****** working for them! DISGUSTING!
Nothing, but problems
We are 2 seperate service providers that have to obtain pre-authorizations on a daily basis from Bonitas for sleepstudies (Polysomnograms and CPAP-titrations). We are extremely frustrated since it seems as if nobody knows what is going on. The people that work in the call centre can never find our faxes even though a different person told you the previous day that they have received the fax. They also decline the authorizations for polysomnograms because they haven't received the results of the EEG that has been done in the rooms. This is after we have loaded the case and gave them the procedure code for a polysomnogram and NOT for an overnight EEG.
Bonitas policy is that it will not take them longer than 48 hours to give authorization. We wait on average, with every single patient at least 10 days and that is after Bonitas has received the motivational letter that they requested. In one instance it has taken them 19 days. We constantly have to fight with Bonitas and if you are extremely lucky you are allowed to speak to one of their supervisors who are also unable to help you.
I agree, authorization for procedure submitted more than 2 weeks ago and on the day of the supposed operation I get called and asked if my wife had the op yesterday, please catch a wake up. When speaking to someone earlier in the week they say they will give feedback before the op date because they know the op date. We had to cancel Specialist and hospital booking the day before because holding on for someone to assist but they must have been on a very long lunch or just too few people to handle the calls. Never in 30 years come across such a pathetic bunch - Liberty still sorted things out !
They are just too arrogant and incompetent
This lady tried to help me, but i got the impression she thought i was stupid. She was reacting to a previous complaintquery which has still not been resolved regarding a claim. Even my colleague who heard the conversation was confounded by their incompetence.
I've never seen anyone trying to use every excuse in the book like this, but i will have none of it. They tried to convince me that my available savings was not enough and when I trashed that theory and asked for email confirmation of what was just said, she said she'd call me back.
These guys should be avoided at all costs as they have *** so many times with me before.
* I received my medical aid card months after I joined
* I have a doctor threatening me with legal action, yet on their statement it shows they paid
* Getting my medical savings transferrred was a mission and this too was delayed by months
* Now, trying to get claims refunded is also a problem with them.
I give up with these people. They are just too arrogant and incompetent and i should have never opted to join this fund.
Stay away from them
I have submitted my completed application form on 24 July 2009. I received an sms weeks later to advise that 2 questions were not completed & that i need to fax a copy of my previous maid certificate, & completed the left out questions, which was re-submitted on 11 Aug, after many follow ups & complaints nothing had been done .I have left messages for the manager or supervisor to call me to no avail. I have sent a letter of complaint to [Hidden Email] to advise me how far the process is, to date (7 Sept) no reply. I was then advised to e-mail [Hidden Email] which i did on 27 Aug, to date NO RESPONSE. I eventually got through to Gertrude, a supervisor, who 'speeded' up the process. I am now a member, but have a 3 mnth waiting period which is UNACCEPTABLE after waiting so long to become a member. My colleague, who submitted her application at the same time, was a member a week later without a waiting period, even though she has never had medical cover before. WHAT IS THIS SERVICE GOING TO BE LIKE WHILE BEING A MEMBER? I am seriously thinking about changing schemes as i have more people who joined the company who will need cover.
Two of my beneficiaries were removed because I replied to a no-reply email with all relevant documentation, no email was sent to inform me the the beneficiaries were removed off my scheme! Only now after trying to claim do I realize they have been without cover for nearly a year!
Team Leader GUGU/DUDU who said she will forward me the call record & then refund me a consultation fee that I paid for, when I should have used 1of my free visit till today none of my request have been met. This from March if not June, I wrote a review on Hello peter & no1 has said anything to me. Bonitas needs to account 4 this & today that this.
Taking Richards Bays largest hospital off their network, without informing clients who are on the select option of their various schemes, that The Bay Hospital is no longer part of their network. Found out only today when I went for a test Was given the option of cancelling of paying 30% co-payment. Had to cancel.
lousy service. holding members to ransom... too many service references to include. Last one (271017QG2D9F)
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