BONITAS - HORRID MEDICAL AID

I joined Bonitas in April 2025. In End of May 2025 I requested to remove my husband as the main member as he was moving over to his company medical aid and to make me the main member. I was issued a new membership number with start date 01 June.

My daughter had to have tonsillitis and adenoids done - in August, I was told that my membership is only 2 months - yet i was on from April and they gave me a new membership instead of changing the main member - Bonitas admin issue, nevertheless I left it.

In September I had a medical emergency and needed to be admitted. Unfortunately the incident occurred at work so I was rushed to the nearest hospital. Milpark was not on the list of network hospitals so i was transferred to Brenhurst. There were bills that apparently was not covered by medical aid so I had to pay out of pocket.

My daughter in October was admitted for emergency appendicitis in a network hospital - again there were bills rejected.

the same daughter broke her toe end of October - again her moonboot etc were not covered in full. I then paid out of pocket.

The cherry on top of the cake - I was involved in a car accident in december - Lancet labs and hospital casualty bill was rejected, and this was a network hosipital. First Bonitas rejects the claim on the basis of benefits depleted. I call them to check and the agent says they didnt receive the claim on the EDi system as ICD 10 code of a MVA. I then called them back and received a screenshot from the hospital that it was submitted with the correct code. Then the second agent tells me they see the icd 10 codes is correct but the admitting dr is not on the network. HOW THE HELL IN AN EMERGENCY, IN A NETWORK HOSPITAL AM I SUPPOSE TO ASK IF THE ADMITTING DR IS ON THE NETWORK. what krap service is this.

Ever since I joined Bonitas, I am paying more in medical bills - the excuse is that I am on a lower plan hence all the exclusions - you guys say nothing when you give the plan that EVERYTHING is an issue on this plan. Why must I pay R4000 a month to get this service!!!!

Absolute JUNK MEDICAL AID