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Shannon E

1 reviews | Active since Jul 2016

06 Sept 2021, 09:46

BONITAS IS BECOMING THE WORST MEDICAL AID

I'm on Bonclassic option. I'm the only member on my med aid. I have been with Bonitas for years. I have never defaulted on my monthly premiums which is now a whopping R5330 per month. Sept 2020, I had major surgery which included 2x hernia repairs. MONTHS before the op, my surgeon went to every length possible to make sure that all will be paid by Bonitas bcoz I explained my financial situation to him, which is basically non existent - I do not work due to ill health. My best friend (bless her heart) pays my med aid every month & another good friend provides me a roof over my head & a warm meal every night. So basically I'm down on my luck. Which is why we made sure that Bonitas would cover all costs of the operation. A few weeks ago I get an account from the hospital for a shortfall on the mesh of R21,750.00 that Bonitas did not pay for. Their excuse is that I did not have enough prosthesis benefit available!! Yet the approval letter between them & the mesh company, which I have obtained a copy of, says nothing about me not having enough benefits available. They also gave an authorization number ON THE DAY of surgery, I only received this in writting the day AFTER the surgery, bearing in mind that we had motivated for this months before and they gave the mesh company the go ahead on 17 June 2020 but they give us the go ahead on the 11th hour!! I am appalled with Bonitas bcoz they don't give 2 sh**s about your health, it's all about the money. They are very quick to take your money but when it comes to paying out.... That's another story! They even have the audacity to use the phrase, "When it comes to Healthcare, Bonitas is there for you" *******!! They're there for your money and that's all.

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Replies (5)
Bonitas Medical Fund
Bonitas Medical Fund's reply06 Sept 2021, 11:23
Official
Hello Shannon E 

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
  
 The Bonitas Team
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Shannon E's update12 Sept 2021, 08:16
Reviewer Update
Well today is 12/09/2021 and still no resolve or communication from Bonitas other than their "standard" reply above as seen on everyone's reviews.
Bonitas Medical Fund
Bonitas Medical Fund's reply13 Sept 2021, 09:52
Official
Hello Shannon E 
 
Your query is still being investigated and we will keep you updated until the matter has been resolved.
 
The clinical department is busy with an update and the claim will be sent for reprocessing.
 
We appreciate your patience while we are resolving this query for you.
 
Regards 

 The Bonitas Team
Bonitas Medical Fund
Bonitas Medical Fund's reply15 Sept 2021, 08:09
Official
Hello Shannon E 
 
Your query is still in processing and we will keep you updated until the matter has been resolved.
 
We appreciate your patience while we are resolving this query for you.
 
Regards 

 The Bonitas Team

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Shannon E's update22 Sept 2021, 15:20
Reviewer Update
Good day Bonitas

I haven't heard anything since you last msgd on 15 Sept 2021.

Please could you give me an update because the hospital is wanting to hand me over now, as this account is already a year overdue.

I really am not happy at all that I pay such an astronomical amount for med aid every month and I've got to constantly beg, fight and plead to get accounts paid.

If I have to be very honest, I would never recommend Bonitas to my family or friends.

I've been a member for many many years and this is how I get treated!! Sad, very very sad!

Kind Regards
Shannon Evans