SS
Scott S

1 reviews | Active since Jul 2018

11 Mar 2025, 11:08

Bonitas for what? if it doesn't even cover emergency care? USELESS!!

My wife and two young boys are with Bonitas "Medical" Scheme. She recenlty had to be rushed to emergency care and treated. Once released she was told to visit a specialist without hesitation as the emergency care unit was not equipped that night to help her (Pvt Hospital). We both went through to the specialist the following day and an emergency on-table procedure had to be done. It took no longer than 5min but was an instant relief to her. Medication was then prescribed and off we went. Both the hospital and doctor submitted the claims after the known co-payment was paid at the specialist. She has now received claim notices showing that basically nothing was covered at all, claiming that the emergency medication that came in the form of a drip and a pill was not covered (not PMB). Even somethings as small as a bandage that was charged R3 difference that needs to be paid. The medical aid goes up a stupid amount and so does hospital equipment/consumables, but they keep the scheme prices the same. What kind of subterfuge company is this?

Its widely know that doctors have to motivate even for life changing operations, more and more push-back by the medical aids is disgusting and I have proof of this! Tangible proof that Bonitas and others are refusing operations that last year where possible to "easy" to have done.

Sort these bills out, Bonita's is meant to be her cover yet she will now be out of pocket thousands! This is a sham and its getting worse.

0
Replies (5)
Bonitas Medical Fund
Bonitas Medical Fund's reply11 Mar 2025, 11:29
Official
Hello Scott S
     
Thank you for notifying us of your complaint, we are sorry to hear about this, we are glad that you have brought this to our attention. 
         
Kindly provide your membership number or ID number of the principal member privately (to protect your personal information not to be visible on this public forum) to investigate your enquiry. 
          
Kind regards
     
Bonitas Team 
SS
Scott S's update11 Mar 2025, 12:36
Reviewer Update
Done.
You will lose another client this month if its not sorted out. Waste of ****** money. Your not in the life game but accustomed to death.
Bonitas Medical Fund
Bonitas Medical Fund's reply11 Mar 2025, 14:00
Official
Hello Scott S

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 Team 
SS
Scott S's update14 Mar 2025, 09:59
Reviewer Update
Still no reach out by Bonitas, seriously? What are you guys playing at?
Bonitas Medical Fund
Bonitas Medical Fund's reply19 Mar 2025, 12:16
Official
Hello Scott S

Thank you for submitting a comment to us through Hellopeter.

According to the email communication, we hereby confirm that your concern has been addressed, and this matter has now been resolved.

As Bonitas we strive to give the best customer service to our clients and appreciate it when you bring your concerns to our attention when we have failed to deliver this service.

We apologise for any inconvenience caused to you.

Kind regards

Bonitas Team