NT
Natania T

1 reviews | Active since Apr 2014

08 Aug 2023, 09:16

Bonitas - "benefits" only admin - Bonitas admin is really bad - causes stress

I've been a Bonitas member ever since I was born - I am now 31 years old. Now that I am pregnant, I have to keep track of my benefits and submit claims weekly after appointments. But yoh, the amount of admin I've been through since I've been pregnant is ridiculous. The last straw this morning was when I submitted a claim for my antenatal classes. According to my standard plan - which I pay R4500 for - I have R1400 for antenatal classes. This morning I received another email stating that they are only paying R654. I can't explain the ongoing disappointment and anxiety I've had working with Bonitas. Previously I had to fight for some form of payment for my fetal specialist to be paid as well - I paid R3400 and Bonitas covered R620. Apparently, my plan include 12 antenatal classes - Bonitas pays R450 per appointment. My gyna is a minimum of R1500 per visit. This is over and above when I tried to claim under my "benefits" for scans - always wondering if it's paid from the correct pot of money. I still believe some of my claims are wrong. I've filled in many surveys for Bonitas sharing my disappointment in their poor admin, put no one seem to care. I would rather just go with another medical aid, even if you have less benefits, to give a skip on this admin, anxiety and stress caused.

0
Replies (5)
Bonitas Medical Fund
Bonitas Medical Fund's reply08 Aug 2023, 09:54
Official
Hello Natania,

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

Kind Regards

Bonitas Team.

Bonitas Medical Fund
Bonitas Medical Fund's reply08 Aug 2023, 16:03
Official
Hello Natania,
 
Thank you for submitting a comment to us through Hello Peter.
 
According to the email communication, we hereby confirm that your concern has been addressed and this matter has been resolved.
 
As Bonitas we strive to give the best customer service to our clients and appreciate it when you bring your concern to our attention when we have failed to deliver this service.
 
We apologise for any inconvenience caused to you.
 
Regards,

Bonitas Team. 

NT
Natania T's update15 Aug 2023, 10:58
Reviewer Update
Good day Bonitas team. To share an email with me from a "non reply" email address must be super comfortable. I can't respond or challenge what you are saying. I still want to know how I could've used my R1410 antenatal benefits? Also, why doesn't Bonitas guide its members with claiming codes? I know - it's to ensure you don't have to actually deliver on your benefit promises. I am highly unhappy. No one even called me to follow up or to talk about this! What is actually wrong with you guys.
NT
Natania T's update15 Aug 2023, 11:01
Reviewer Update
Furthermore, I am on the STANDARD PLAN - I don't need to make use of network doctors as referenced in your email. But hey, no contact details or an actual human to speak to!
NT
Natania T's update28 Aug 2023, 08:30
Reviewer Update
I am leaving yet another review for Bonitas because it's the only way you can get someone to contact you. After my previous TWO reviews, my antenatal classes claim of R1400 has still not been resolved. A lady called me explaining everything and how the invoice should be fixed - the joke is she never called back on the Monday as she promised to follow up. Another week later, my claim was rejected again for admin reasons. I still don't understand their reasoning if I paid R1600 to the service provider and are rightfully trying to claim my R1400 as per my standard plan benefits. My opinion still sticks: Bonitas promises and under delivers and they are used to people to fighting them.

I was admitted to the hospital for 3 days. While there I had to deal with the stressful admin of Bonitas not paying for in-hospital things as well. As mentioned before, this is from the Standard Bonitas plan of R4500 per month.

The longer this admin is stretched and the more stress they cause me, not caring about me, I can confidently say that I will be leaving Bonitas - I will also be moving my husband's medical aid. My next step is to go to community newspapers with this news and show them all my reviews and how Bonitas is NOT delivering on basic benefits. I have 4 weeks left before I go into labour, and my MEDICAL AID is my biggest stress and worry. How must I deal with this admin when I have a newborn. I am really worried. Every time I write a review, someone will contact me or email me from a nameless email (which is also a non reply email) and the page will write back on my review saying "all is resolved" when it's not.