AH
Abigail H

1 reviews | Active since Aug 2020

09 Nov 2022, 09:28

Bad service!!!!Holding the member responsible for other people's responsibility.

I need to tell people of my second bad experience with Bonitas Boncap.I took my daughter to Emergency room on the 1st November 2022. I received the claims for the ER doctor and xray department via email which paid I received another claim via email for the hospital itself and claim Status is stating claim rejected. I have been stressing over this and communicating with Bonitas medical scheme since then but it's only emails going back and forward. Finally I received feedback yesterday from the scheme management stating that the rejected claim is correct due to no Authorisation for services was obtained from the scheme.What is so sickening is that this is not the first time that this happened to me.I have to waste my airtime and data to get hold of them. The email received clearly states in my current situation due to the provider not getting Authorisation the member is liable for payment. Am I supposed to do other people's job for them? Is it my responsibility to get Authorisation? What is it that I'm paying for each month? I have medical aid but I attended a government facility for half of this year due to the fact that they always makes excuses why not to pay. I had to pay money in for attending the government facility aswell.So I ask what is medical aid for? The money I'm paying you could be put to better use. You are worst than house insurance that needs a excess fee for every claim.

0
Replies (3)
Bonitas Medical Fund
Bonitas Medical Fund's reply09 Nov 2022, 09:38
Official
Hello Abigail H

Thank you for notifying us of your complaint. We are so sorry to hear about this, we are glad that you brought this to our attention to resolve.
 
We will investigate this matter.
  
We appreciate your patience while we are resolving this query for you.
 
Kind Regards

Bonitas 
AH
Abigail H's update09 Nov 2022, 11:04
Reviewer Update
I sure hope that you looking into this.
In my emails forwarded to to hospital Authorisations I stated my whole situation and what I need clarity on.

Bonitas Medical Fund
Bonitas Medical Fund's reply09 Nov 2022, 14:06
Official
Hello Abigail H

Thank you for notifying us of your complaint. 
 
We are investigating this matter.
  
We appreciate your patience while we are resolving this query for you.
 
Kind Regards

Bonitas