PR
Pravinash R
Active since Jul 2009
23
Reviews
0
Industries
Reviews
23 reviews1 month ago
Claims Process Delayed Despite All Required Documents Submitted: TRA needs to try harder
This was my 1st time i claimed, I submitted the required documents for a GAP cover claim on 21 and then 24 April and received a reference number shortly thereafter. On 04 May, additional information was requested, which I then submitted immediately. Unfortunately, with every request for further information, a new timeline seemed to be added to the process. What concerns me most is the email I received from the claims department on 07 May at 19:52 stating: “Please provide the invoice of the service provider, we cannot work from a screenshot/Snippy.” This response clearly indicates that the attached documents were not properly reviewed before sending the email, as the actual invoice, statements from medical aid, proof of payments, medical aids letter confirming the co-payment had already been attached. It appears that only the screenshot was noticed, resulting in another unnecessary delay. This is my first claim, for an amount of approximately R2,200, and the experience has been disappointing. It raises concerns about how larger claims would be handled if such delays and lack of attention occur on a relatively small claim. I immediately requested that the matter be urgently addressed and advised that, should it remain unresolved, I would share my experience publicly. To date, I have received no further feedback. Clients expect efficient processing, proper review of submitted documents, and communication that reflects genuine attention to the claim. Unfortunately, that has not been my experience.
1 reply
1 month ago
Pick n pay chilli lane refused to honour its special price
Pick n Pay advertised its butter on special for R50.99, specifically for the stock butter brand. However, when the item was scanned at the till, it rang up as R69.00. I raised the discrepancy with the store manager, Ditsepu, who personally held the price tag in his hand during our discussion. Despite this, he refused to honour the advertised shelf price. I was not requesting the item for free, as stores sometimes do when there is a pricing error. I simply asked that the advertised special price be honoured and that customers not be misled by incorrect pricing. Unfortunately, Manager Ditsepu declined to assist, and I had no option but to accept a refund.
1 reply
2 months ago
Bonitas members deserve better: Cancer is a Prescribed Minimum Benefit condition.
Bonitas Primary: Shocking delays & initial declines on PET/CT scans for cancer patients – even after Oncology registration & chemo. Clear PMB cover being ignored. I am posting this publicly to highlight a serious and ongoing issue with how Bonitas manages PET/CT scans for oncology patients on the Primary 2026 option. My wife was diagnosed with Stage 3 colon cancer. She is fully registered on Bonitas’ Oncology Management Programme, and the scheme has been paying for her chemo without issue. Her treating oncologist requested a PET/CT scan to assess treatment response aftr 12 taxing sessions and this is to guide next steps – this is standard, clinically necessary care for a Prescribed Minimum Benefit (PMB) condition. Bonitas’ own 2026 Primary brochure and Annexure B state clearly: PET SCANS (SUBJECT TO REGISTRATION ON THE ONCOLOGY MANAGEMENT PROGRAMME) – PMB only Despite this explicit cover, the request was initially declined. The hospital benefit comments stated the Primary option “does not have a PET scan benefit”. Even after Bonitas knew about the cancer diagnosis and had already funded chemo, they still required an extra doctor’s motivation letter proving the scan is “part of the treatment”. The process is unnecessarily slow, bureaucratic, and stressful. It feels like the Oncology department is gatekeeping a benefit that is supposed to be automatic for registered PMB cancer cases. This is not isolated – it appears to be a systemic problem with Bonitas (and many medical aids) when it comes to oncology. Bonitas members deserve better. If you have experienced similar delays or denials with PET scans, oncology authorisations, or PMB-related imaging, please share your story. These delays cause real harm to cancer patients who are already under immense stress.
1 reply
2 months ago
Bonitas fails to honor benefits on its plan and use its DECLINE departments to hide behind
I am deeply disappointed and concerned by the way Bonitas has handled this matter. It appears that Bonitas has a dedicated process that prioritises declining authorisations for critical medical procedures, even when members have paid for these benefits. My wife is a beneficiary on my Bonitas Primary plan, and a PET Scan that falls under her oncology benefit has been declined by the scheme. Given her current severe pain and the overwhelming impact of her cancer diagnosis, timely access to this scan is critical. However, instead of receiving meaningful support, we have only received a lengthy decline letter that provides very little useful information or recourse. I have made several attempts to engage with Bonitas to resolve this issue: Telephonically: My first call went unanswered. Via the Bonitas chatbox: I was placed in a queue as position 72. Via email (sent on 7 and 8 April 2026): I have received no response to date. What is particularly concerning is the apparent lack of urgency, empathy, and due care shown by Bonitas towards its members , especially in emergency or time sensitive medical situations. The standard responses (long decline letters, long call centre queues, and automated email acknowledgements) do little to assist members when rapid resolution is needed. As a loyal, paying member, I expected far better service and support from my medical aid, particularly when dealing with a serious oncology case.
2 replies
2 months ago
Bonitas fail to honor its benefits being PET Scans that is in their plans
I am writing to raise a concern regarding the rejection of a PET scan request for a member of the plan, who is currently registered on the Bonitas oncology benefit. I am a Bonitas member on the Primary plan, and the member is an approved oncology patient under this plan. Based on my understanding, the Primary plan includes cover for PET scans as part of oncology treatment where clinically required. However, the request for her PET scan was declined by Bonitas, with the reason provided that it does not comply with clinical and funding protocols, and that the PET scan benefit is not included in the Bonitas Primary plan. This is both confusing and concerning, as it appears to contradict the stated oncology benefits associated with the plan. A PET scan is often a critical diagnostic tool in cancer management, and the denial of such could have serious implications for her treatment and care. On the 2026 plans, pet scans are included. Seems like another situations where the medical aid is failing to honor its plans and yet paying members have to suffer at the hands of administrators. I kindly request the following: •A clear explanation of why the PET scan was declined, specifically referencing the clinical and funding protocols used. •Confirmation of whether PET scans are covered under the Bonitas Primary plan oncology benefit, and under what conditions, as this is now misleading especially for cancer related benefits •Guidance on what steps or additional information may be required to have this decision reconsidered. I would appreciate an urgent review of this matter, given the importance of timely and appropriate cancer treatment.
1 reply
2 months ago
BONCAP is poor medical aid that takes money and cover nothing
Not happy with BONCAP medical aid. They cover nothing and everything is pre-authorisation and have to wait for a letter, that takes so long to tell you its declined in the last minute. The staff that holds the fort for BONCAP only understand DECLINE at the last minute, yet this is paid medical aid. I am becoming increasingly frustrated with the handling of matters by BonCAP. In both instances that my parents needed medical specialist, i have experienced the exact same situation. I am concerned by what appears to be a lack of care and coordination expected from a professional medical aid provider. Please take note of the following: 1. I initially received confirmation that the treatment was approved. 2. The treatment is for a cardiologist, a specialist that BonCAP itself recommends within its network. It has nothing to do with the exclusion. 3. This appointment was scheduled as far back as January 2026 for today, 30 March 2026, after a long waiting period for the network approved cardiologist. 4. On Friday, I received two conflicting emails within a short time (14:20) — one approving and one declining the request linking this to diabetes exclusion. 5. Both communications state that there is no late penalty, yet the outcome has now changed at the last minute. The decline states that the consultation relates to diabetes and falls under an exclusion until 31 May 2026. However, this does not explain the initial approval, nor does it justify the timing of the reversal just before the appointment. BONCAP decline everything and try to link to an exclusion. So they take your money for 12 months, put you tru a hearty process so the claim is declined. The Medical council will be engaged on this bad behavior, as other customers cannot be subjected to this behavior. PS, remember BONCAP, we are paying for medical aid, its not free, and it not cheap
1 reply
4 months ago
Momentum initial discounts for life policy is a sham
I recently took out a life policy with Momentum,and after receiving a few quotes, Momentum offered a discount based on their online assessment.With their discount,they were well priced and I took out the policy. A few months later,and they send another message for the annual assessment and now the discount substantially dropped. This immediately will affect the premium going forward. I enquired on this and was told that the %discount would not drop more than 5%. This is ridiculous l, as momentum lure clients with a substantial discount upfront and then medicals are done..before you know it,the discount is errouded with a 5% premium creep annually. This is false advertising and misleading the client with false advertising. The 2nd part is trying to then cancel the policy as the other insurance company offered a min 10year fixed premium that no in hindsight was a better option. This is near impossible. The cancellation division has a 72hr turn around time..and when they did call, I was driving and unable to take the call from Desiree Tlomatsane,so they immediately sent a message to tell me they called. I responded back for an immediate call to cancel the policy and like I said,it's impossible. No call back even after a follow up or even after another 72hr wait and still waiting. Momentum false advertising and misleading customers with no assistance from their client department. If this is the service I revive when I'm alive and paying for life insurance, I am not comfortable going forward for my beneficiaries to deal with this. Can this be escalated and assistance to cancel
1 reply
6 months ago
Unreasonable Delay in Authorisation for Eye Procedure from Bonitas
I am writing to formally lodge a complaint regarding the ongoing and unreasonable delays in authorising my father’s urgent eye procedure (vitrectomy). Despite our transparency and full cooperation since joining the Scheme, Bonitas has not provided clear timelines, effective follow-up, or adequate feedback—resulting in deterioration of his eyesight. This saga has been happening since 06 November 2025. At the point of joining Bonitas, all medical history and documentation from Discovery Medical Aid were submitted, including information relevant to the 12-month exclusion for cardiac arrest. Bonitas assessed this information and app**** the waiting period accordingly. This eye condition did not exist prior to joining the scheme; therefore, it is not linked in any way to the cardiac exclusion. The current delay is due to Bonitas’s internal investigation. We acknowledge Bonitas’s need to conduct an internal investigation due to the break in cover. However: • We, as members, submitted everything required. • Bonitas initiated the investigation. • The delay is now solely on Bonitas's side due to lack of follow-up with the doctors. Lack of follow-up and lack of feedback from Bonitas. Bonitas has repeatedly stated that the form from the Dr is outstanding. However: • On 19 November, the Dr confirmed directly to us that the form was completed and submitted. • Bonitas has not provided: o Proof of attempts to follow up with the doctor since sending the form, o Dates or records of engagement, o Copies of the forms supposedly sent to the doctor, o Any clear ETA for completing the investigation. This creates the impression that Bonitas is not actively managing its own investigation with no ETA on heir investigation. This delay is causing progressive deterioration of my father’s eye condition. Every day lost further compromises his vision. This is an urgent clinical matter. Given the above, I request the following in regards to assistance from Bonitas: 1. A full record of Bonitas’s follow-ups with Dr, including dates, times, and method of communication. 2. Confirmation whether Bonitas has received the form Dr states she submitted. 3. A clear timeline for concluding the investigation. 4. Immediate escalation to the relevant clinical manager for urgent resolution. We have been fully transparent from the start, including accepting and paying the late-joiner penalty. However, the current delays—caused by Bonitas’s internal processes—are resulting in clinical harm, stress, and a complete lack of clarity about next steps.
1 reply
13 months ago
4 Month's and still awaiting the refind
It has been 4 months after my order was collected and I'm still awaiting a refund from Makro online.Despite numerous calls and discussions,I'm still at square 1. The item was collected in Jan2025 and no refund as yet.
3 replies
15 months ago
+27678238273 scan artists
**** artists for fridge and aircon repair. +27678238273. Sometimes goes as the name as Clyde Palmer and post on Facebook fridge repair. Comes in and then claims other things are not working and indicate he need to get it in the morning from the fridge shop cost below R1000 showing you the price from a legit site. Sayings it urgent or the compressor will give in and has to repair it first thing in the morning. After he is gone..so is the cash . ****ming innocent people with lies
1 reply
Review Distribution
5 Star
5 (21.73913043478261%)
4 Star
0 (0%)
3 Star
0 (0%)
2 Star
4 (17.391304347826086%)
1 Star
14 (60.869565217391305%)