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yolandi O

1 reviews | Active since Nov 2015

10 Nov 2015, 16:47

Bonitas DECLINE PMB surgery!!!

Bonitas declined a PMB back surgery by only taking the MRI report in consideration, not the Drs (Neurosurgeon) motivation letter that the patient consulted with and without ever meeting the patient, they concluded that its not PMB even though the patient is in constant extreme pain and has weakness in his left leg leaving him unable to work, sleep or do any normal every day activities. No pain meds is helping anymore. All other alternative measures has been taken without success. Bonitas now recon its an exclusion on the medical aid even though the council of medical schemes clearly state if any benefits changes on the scheme members should be informed, info should be in the brochures and on the website and non of it has ever been communicated to the members in anyway! CMS also state that if it affects your way of life it is considered PMB. They are refusing the surgery even having been informed of all the CMS rules.<br> He has been a member of Bonitas for many years and now that he needs urgent surgery they are refusing much needed PMB surgical treatment! What is the use of having a fund if they are not open and honest with its members!!!

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Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply11 Nov 2015, 09:16
Official
Hello Yollie11,


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

This is to confirm that we have received your comment 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