Bonitas inadequacy

I have been with Bonitas for about 3 years now.

I am on the Bonfit Select plan. In March 2025 i had undergone a procedure which involved internal prosthesis. A life-threatening procedure in fact and an emergency one too.

I had received all pre-authorization letters and commenced with the procedure as one would.

However, the nightmare i have faced with Bonitas and their lack of urgency on covering procedures, putting their clients in financial distress, this has made me utterly disappointed.

I was told that my cover does not include internal prothesis on numerous occasions. Are your employees that inadequate that they dont know what covers they offer and its details? I have explained on numerous occasions that i have 100% in-hospital benefits, Internal prothesis is also covered through in-hospital events and also you people pre-authorized the procedure and still came back and asked for quotes from the doctor for the prosthesis? Then the authorization was approved there after?

I have sent motivation letters, quotes, scans, reports and everything? I am the client why tf am i doing this? Because you people lack any urgency or accountability when doing your job and providing for client like you brag about on your adverti*****ts.

I was told that the claim had been rejected on 3 occasions, eventually you people pilled finger and eventually submitted the claim to your case managers for the procedure to be covered under PMB. This was in July 2025.

Since then, the claim had turned stale, resulting in Netcare threatening to hand me over and come up with nearly R100k for to pay an invoice that Bonitas HAVE to pay for.

Couple months later finally after hounding every week and nearly every second day i had finally been told that the procedure will be covered under PMB like it should of how many months ago? This was confirmed in August/September 2025.

We are now in November, i still get threats from Netcare and still the invoice stands unsettled. All Bonitas tell me is that the fund management are busy with it and then i get a new reference number. Each Agent spins a different story every week, i get given ill treatment by your agents with sarcastic replies and a sense of irritation when phoned, because they can't answer the difficult questions. Too busy stuffing face maybe?

It is pushing on a year that this claim has been unresolved and i have exhausted every single process of theirs to get a resolution. I am currently discussing and registering this claim with CMS to get to the ****ing point.

I have never missed a debit order, Bonitas have usually never given me grey hairs and this is how i get treated during an emergency procedure? This is the service you give to your clients? **** me chaps!!!!!