How to submit a claim

Remember you must submit your claim within four months of the date of treatment or service for your claim to be processed.

Claims can be submitted in one of the following ways:

• E-mail your claims to claims@bonitas.co.za
• Via the Bonitas Member App (Download from your app store)
• Log in
• Tap on the 'Medical Aid' icon
• Tap on 'Claims'
• Then on 'Submit a claim'
• Via the Member Zone
• Visit www.bonitas.co.za
• Click on ‘I’m a Member’ to log in
• Click on ‘My claims’
• Then on ‘New claim’
• Via the Bonitas WhatsApp line on 060 070 2491
• Type ‘Hi’ to see the menu
• Select ‘Member self-service’
• Select 'Claims’
• Then ‘Submit claim’
• Walk-in centres: Submit your claim at one of our walk-in centres

Get your claims paid quickly and easily by following these simple steps.

1. Ensure your banking details are correct

We pay claims refunds by electronic transfer (EFT) into your bank account. Please call us on 0860 002 108 if you need to update your banking details.

2. Check your account and receipt

To allow us to process your claim quickly and efficiently, please make sure that your account and receipt show the following:

• Your name, initials and surname
• Your medical aid membership number
• The treatment date
• The name of the patient as shown on your membership card
• The amount charged
• The tariff
• The ICD-10 code (diagnosis code)
• Healthcare provider’s practice number

Please check that prescriptions for medicine show all the details above as well as the correct amount of medicine dispensed. If the pharmacy excludes any of these details, we will not be able to process your claim.

3. Check that your claim has been paid

We pay claims weekly. Every month, you will receive a statement showing your claims and available benefits. You can also view the status of your claims on the Member Zone, Member App and on WhatsApp.