BK
Bertram K

1 reviews | Active since Aug 2010

17 Jan 2018, 09:07

Best example of a Terrible Medical Aid.

Since November 2017 my spouse and I have had to endure major frustration and irritation thanks to the service received from Bonitas.

Firstly they managed to botch the authorization. Only after the third attempt and having to call them repeatedly was the authorisation provided. The 1st authorisation was declined after being delayed for 48 hours. The consultant never called back for the 2nd attempt. Secondly they immediately declined the whole doctors bill as apparently the procedure was not authorized. The excuse was that a few of the codes on the invoice differed from those provided for the authorisation. Thirdly they insist that there is a 30% co payment for Life hospital even though Bonitas had sent out an email in March 2017 confirming that the Life group of hospitals have waived this co-payment. They then proceed to only pay-out 70% of the claim. Apparently Bonitas doesn't what "Waived" means. Fourthly Bonitas has a terrible record of not being bothered to call the client or to keep them updated. They have no channel to log complaints and will close a query that has not been resolved yet.

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Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply17 Jan 2018, 17:13
Official

Hello bhk123,

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

Kindly reply privately with your membership number and contact details in order for us to assist with your query.

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Kind regards,

Bonitas Team