KK
Khadijah K

1 reviews | Active since Mar 2020

27 Mar 2020, 15:47

Authorization for Bariatric Bypass Operation @ Special Case Department

I have never been so disappointed in Bonitas Medical Fund. I have been a member since 2000 and I they always gave me good service p until now. I For the past few years I am suffering of ill health. I am a diabetic, obese, asthma and have respiratory problems. I am also sitting with swollen legs and feet. I suffer from glaucoma and lost my left eye due to my diabetes. Because of my ill health i was boarded from work, so I am not able to work anymore. My diabetes in uncontrollable and over the years I picked up wight. I have tried many diets and weight loss products but to no avail. I will lost some weight and pick up more than what i lost. My health has also deteriorated over the years,. I have a big abdomen and it currently pressing on my lungs, that is why i have respiratory problems. I have a machine at home that generate oxygen to help me with my breathing in case I struggle to breathe which happens quite often. Also my oxygen flow in my body is very slow and does not flow as it should that is why I am sitting with the swollen legs and feet. It became so bad that it is now a health threatening situation. Last year alone I was about 6 times in hospital because of not be able to breathe. my oxygen in my body go so low that i end up in ICU to recover. My physician recommended that I must have Bariatric surgery to make my stomach smaller and it will solve most of my health issues, like my diabetes, my breathing, cholesterol etc. I went to see the doctor that does that kind of operation and he perform various test to see if I qualify for such operation. I do indeed. Th doctor together with all the other doctors motivated it to Bonitas that they feel that I must have the operation to give me a better quality of life. The letters together with all the relevant test was mailed to Bonitas on the 21/03/2020 and on the 24/03/2020 they notify me that they decline the operation. It is an exclusion on the medical aid. This operation is not for cosmetic purposes but for my health. I cant even move properly because i get tired easily and short of breath. I need this operation to have a better quality of life and to be healthy again. Bonitas did not even review my case. They just decline it. I really don't know what to do. I don't have the cash for such an operation. I am depending on the medical aid to make an exception because my health is at stake here

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Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply01 Apr 2020, 16:38
Official
Hello Khadijah K, Thank you for submitting your details to us through hello peter. This is to confirm that we have received your information 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   
KK
Khadijah K's update02 Apr 2020, 16:01
Reviewer Update
Thank you for your reply. What I don't understand is that you keep on investigating the matter knowingly you declined it for the second time. Yesterday I received an email from Bonitas stating that my authorization for the surgery is pending and that they will let me know the outcome. Yesterday afternoon I called them to find out how long they will take to come back to me regarding the outcome. The lady immediately told me that it has been decline. Reason being that Bariatric surgery is a scheme rule exclusion. Bonitas you suck big time. My health is at stake but you guys don't give a damn. Bonitas ref no: BON***3