BONITAS FATIGUE

Being with Bonitas is like being with a really handsome but abusive partner. Their benefits are great but on PMB, and now on Covid benefits, they seem to drag things out until they hope you give up. I have previously commented on Bonitas using Hello Peter and have also submitted formal complaints to the CMS previously and yes then they act.

A Medscheme employee was allocated to deal with our PMB issues but seems she is bored now just deleting emails without reading them. She cannot manage to finalise a claim dating back 20 months...

Adding to my frustration claims related to Covid treatment have been paid from Day to Day benefits instead of from risk. Is this then an empty promise: Bonitas will fund all clinically appropriate care and related costs, including COVID-19 related testing, in line with the Council for Medical Schemes’ press release 3 of 2020. This means that the Scheme will cover the diagnosis, treatment and care costs of clinically appropriate care related to COVID-19 as a prescribed minimum benefit (PMB).

The GP treating Covid used the correct new Covid tariff codes but instead of paying from risk, the GP benefit is now depleted. And the medication treating Covid was paid from day to day instead of risk. Why is staff not being trained so that members do not have to double as administrative support. Do I one again have to do your work for you and collate all the unresolved queries or will you be diligent and go and look for the queries frustrating your client so..

I am waiting (as patiently as possible) for you to do what you are being paid from. Thank you