1 reviews | Active since Nov 2017
1 month to get an authorisation code from BONITAS for a colonoscope I need to have done as a result of their incompetence
False advertising! You say you are rated the No. 1 Medical Aid in South Africa? No 1 of what? I NEED THIS AUTHORISATION NUMBER BEFORE 10AM TOMORROW (9 MARCH 2023). The I.C.D.10 code you have recorded for this procedure is incorrect - it should be K62.5 - who captured the incorrect information on this???? You have it as K62.3 - ***? Who is so stupid that they don't know the difference between a 5 and a 3? In Feb 2022 I was admitted to one of your Network Hospitals, Netcare Waterfall City to be factual. I spent a week there, having a gastroscope and a colonoscope. The Dr who did the procedures was a foreigner and his communication in the English language left much to be desired. The procedures were done and I was ready to go home, but they kept me there for an extra 2 days. I am sure Bonitas paid for those two days and all my hospital funds were used up. A month later, my abdominal pain returned to such an extent that I was incapacitated and unable to perform my duties at work to the best of my ability. The gastroscope that was done was incomplete and was not followed up with a CT scan to find out why the doctor could not get passed a certain point in my colon. When I was released, I took my diagnosis notes to my GP to interpret for me. That is how bad it was. My pain continued. Dr Botha requested, on several occassions for a colonoscopy authorisation so that he could complete the investigation. Bonitas (as usual) never approved it because Sandton Clinic is not 'ON THEIR ****** NETWORK'!!!!! I had already wasted my time (and hospital benefits) in February 2022 and was desperate for some assistance. On 6 September 2022 I went to my gastroenterologist, Dr J Botha at the Sandton Clinic as I have been a patient of his for the last 12 years and the abdominal pain I was experiencing was beyond describable. My entire abdomen was in tremendous pain and I couldn't take it anymore. I couldn't move my legs without screaming out in pain. On physical examination, he found a mass protruding out of my chest (between my lungs and immediately requested that I go for a CT scan the following morning. I went for the CT scan and the diagnosis was that I had a caecal volvulus (severely twisted colon for those that are not advanced in medical terms). I was admitted to theatre immediately and an emergency operation that saved my life was performed. God bless Dr Botha and Dr Lowton. A part of my colon was removed and I spent 7 days in ICU and 6 weeks in recovery before I could go back to work. Now, 6 months down the line, I need to go for a FOLLOW UP colonoscope to see how my body has handled the right hemi-colectomy. I have tried for ONE MONTH to get an authorisation code for the gastroscope. My broker has also tried. Dr Botha has also tried - but no authorisation has been forthcoming. Due to a bad experience at the Netcare Waterfall Clinic and a waste of my medical funds, I do not want to have my colonoscopy performed at that hospital. The doctors who literally saved my life are at SANDTON MEDI-CLINIC. They did the operation in September 2022. This gastroscope that is being requested is PART OF THAT EMERGENCY SURGERY MATTER - IT IS A FOLLOW UP!!!! The unhelpful untrained, unknowledgeable people at Bonitas find that hard to understand. I am booked to have the colonoscopy with Dr Botha tomorrow. I have done the whole pre-procedure prep exercise in order to have it done tomorrow. I do not have R15 000 to pay for a co-payment because Bonitas (who is quick to take my premiums on time every month, in full) does not understand or doesn't want to understand. We have been pushed from pillar to post to get a simple authorisation number and you cannot get any help from someone higher than the call centre. WHAT PATHETIC SERVICE! I WOULD NEVER RECOMMEND YOUR SERVICES TO ANYONE. The last time you declined to give me authorisation for a colonoscopy (which would have cost much less) you ended up paying more than R200 000 for my emergency surgery. Do you not learn??? Just a heads-up: I will be reporting your false advertising to the Broadcasting Complaints Commission which is my right according to According to section 41 of the CPA where it states nobody is allowed to make false, misleading or deceptive representations in words and conduct, directly or indirectly, about a material fact of goods and services. South Africa's #1 Medical Aid - REALLY???? This had better be attended to as a matter of urgency. I am only getting started. *** [MI***]
