NS
NATANIA S

1 reviews | Active since Aug 2017

16 Aug 2017, 16:02

APPAULED WITH THIS MEDICAL AID

As you know Liberty medical aid scheme was taken over by Bonita's In the beginning of 2017 with higher rates and fewer benefits At the end of June I was advised that as a dependent my savings were depleted and as per advertised have to pay R1326 For self payment gap before I reach my threshold. Since my first out of pocket expense on the 30.06.2017 I have submitted the slips as and when received in order to sooner reach the threshold. To date I have paid R8444.60 out of my own pocket and when my husband filled a prescription for me today he was advised that the medical would not cover it. Not only have I submitted these claims on numerous occasions and followed up to no avail, I have not received anything more than an automated response. So my gap cover is not being updated, my threshold has not been reached and they are still to reimburse me for the excess claims paid out of my own pocket. My husband who still has most of his savings went to the dr for the first time this year and the bill was sent to me to pay as the medical aid didn't cover his dr bill for some reason. On numerous occasions we requested our Tax certificates from Both Liberty and Bonitas and after 2 months finally received the one from Liberty yesterday- not even sent to us from the company but from our liberty broker. After pointing out to Bonita's for the last two months that the tax certificates (Yes multiples of them) are incorrect and requested for them to correct it we again received yet another incorrect one yesterday. (Again not even from the medical scheme but from our broker) So we have been members now for the whole year and are still awaiting our membership cards also requested on numerous occasion. I am currently 31 weeks pregnant and can honestly say that not only is Bonita's placing me and my family under tremendous financial strain having to cover all the bills from our own pocket they are also causing me tremendous anxiety as I am worried for the health of my self and my baby come time for the delivery. I would like to add that we are on the bon Complete plan which is considered the 3rd best plan provided by the scheme and pay quite a small fortune, well not so small considering that I have paid almost 2 months premiums out of my own pocket and am yet to receive the curtesy of s response.

0
Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply17 Aug 2017, 15:47
Official

Hello natanialeesmith ,

Thank you for submitting a comment to us through Hello Peter.

This is to confirm that we have received your comment and that we are currently investigating this matter.

Our representative will be in touch with you shortly to discuss this matter and ensure that it is speedily resolved.

Kind regards,

Bonitas Team

NS
NATANIA S's update11 Sept 2017, 11:27
Reviewer Update
It is 3 weeks since this post and to date this matter has not been resolved. To date I have paid more than R10 000 out of my own pocket for medical bills for self payment of R3000 and yet the bills just keep coming unlike the feedback and requested documentation from Bonitas. Did you know that your savings doesn't cover a variety of medication however Bonitas still process the claim and then increases your gap cover payable but funny enough they cant provide you with a list of the medication not covered by savings and by how much it increases the gap cover you have to pay. So how can I possibly prevent my current situation from happening again or utilise my savings to the fullest without this information. I have sent my invoices and proof of payments through on numerous occasions with everything being captured on an excel spreadsheet and asked them to please indicate on my spreadsheet for every amount I paid out of my own pocket what was contributed towards the self payment gap - to no reply - I have still not reached my threshold and after paying more than R10k out of my own pocket towards a R3k self payment gap I am apparently still R500 odd rand short of reching my threshold. To top it all off I have been asking them for clauses to their "Policy procedures" to no avail. Worst medical aid by far and I certainly do not recommend anyone join. Disappointed beyond belief. Regards