MR
Michael R

1 reviews | Active since Jan 2019

15 Jan 2019, 10:58

Bad service from Bonitas Medical Aid

Bonitas member !!!!!!!!!!!!! I had a procedure done at Sunninghill hospital on the 05/04/2018 for stents to be inserted in my left leg. I had received authorisation from Bonitas for this procedure, which was duly performed on the date. After receiving my account only 6 months later from Sunninghill Hospital, did i find out that Bonitas paid for the Stents but did not pay for the Balloons - as this is one procedure and the one cannot be done without the other i contacted Bonitas to query this. After numerous calls to Bonitas ( +- 24 Reference numbers can be supp**** ) and speaking to different agents every time, who then start from the beginning again, and been told that there was no authorisation requested for the Balloons. During 3 of these reference numbers i got told by - 1) 13/11/2018 - Vusi - Case manager this account would be settled in full - " NO PAYMENT " 2) Ref no - BON ********** 2 - Thabo - Account would be paid in full and correspondence would be sent to me via email - " NO EMAIL OR PAYMENT " 3) 27/11/2018 Thabiso - said that he had spoken to Thabo ( Case manager ) while i was on the phone and confirmed that this account would be paid in full - " NO PAYMENT " I have also communicated with the case manager from Sunninghill Hospital on numerous occasions and she has emailed Bonitas all the relevant information - but still no joy from BONITAS , and Bonitas told me on they had not received any email from Sunninghill Hospital on the 30/10/2018 - This was resent on the 05/11/2018. This account has also been handed over to Sunninghill Hospital's attorneys for collection on the 29/10/2108 !!!!!!!!!!! On the 20/12/2108 i spoke to Lesego ( Ref no - 201218Q5DMWO ) and he said that he could also not understand why this has not been paid, and that he would take this up with the case manager Mpumi and phone me back - " NO RESULT OR PHONE CALL " Today i phoned and spoke to Nqobani and asked to speak to Lesego, he told me Lesego would phone me back - " NO PHONE CALL " It is not a case of i am on a cheap medical package with BONITAS - i was on the 2nd best medical with BONITAS - and as from the beginning of 2019 i am on the best medical package with BONITAS MEDICAL AID> My question is - why has half the operation been paid for and the other half not paid when i had got an authorisation number from Bonitas ????????? And why must i try and sort out NAPPI codes etc. when it is Bonitas Medical Aids duty t do this ?????????? THIS IS ******* SERVICE FROM BONITAS MEDICAL AID !!!!!!!!!!!!!!!!!!!!!

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Replies (6)
Bonitas Medical Fund
Bonitas Medical Fund's reply15 Jan 2019, 12:05
Official
Hello michael-ried,

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  
Bonitas Medical Fund
Bonitas Medical Fund's reply17 Jan 2019, 09:09
Official
Hello michael-ried,

As per our telephonic conversation your query is still being investigated and we will keep you updated until the matter has been resolved.

We appreciate your patience while we are resolving this query for you.

Regards,
 
Bonitas Team

MR
Michael R's update30 Jan 2019, 15:52
Reviewer Update
Responding to my original complaint on the 15/01/2019 regarding Bonitas Medical Aid, a person ( Lamy ) has phoned me twice during this period and explained that this case was escalated to the hospital & Bonitas case managers to authorise the procedure. The last time she phoned me which was on the 23/01/2019 she told me this was still being investigated. During this time I have contacted Sunninghill Hospital and the have said they emailed Bonitas Medical Aid all the procedures and relevant information, and that they have also all been approved. I have also emailed all this relevant information to BONITAS - Still no answer !!!!!!!!!!!! It is now 15 DAYS LATER - and no answer from BONITAS MEDICAL AID - PATHETIC SERVICE !!! Or are the people that work for BONITAS just too lazy to do their jobs or just *********** !!!!!!!!
MR
Michael R's update30 Jan 2019, 15:59
Reviewer Update
All the relevant information was emailed by Sunninghill Hospital to Bonitas Medical Aid on the 27/12/2018 - Nothing been done !!!!!!!!!!!!!!!! And Bonitas have got the cheek to say they are busy dealing with this on 2 occasions that Lamy phoned me - no mention that all the updated information has already been sent to Bonitas. From the 27/12/2018 to the 30/01/2019 is exactly 34 days ?????????????????????? no answer !!!!!!!!!!!!
MR
Michael R's update01 Feb 2019, 17:33
Reviewer Update
BAD SERVICE FROM BONITAS MEDICAL AID !!!!!!!!!! 48 hrs later and no reply from " Bonitas Medical Aid - Not even a follow up call from Lamy " " This is shocking service " !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
MR
Michael R's update01 Feb 2019, 17:37
Reviewer Update
As per reply from Bonitas Medical Aid on the 17 January 2019 - As per our telephonic conversation your query is still being investigated and we will keep you updated until the matter has been resolved - " WHAT A JOKE " 2 WEEKS LATER - NO UPDATE !!!!!!!!!!!!!!!!!!!!!!!!!!