FM
Faith M

1 reviews | Active since Aug 2018

24 Aug 2018, 12:25

Bonitas Medical Aid

Gooday

I would like to escalate my complain i have with Bonitas. i have been their loyal member over 10 years and my spouse moved me to his membership (still under Bonitas) effective 1 Jan 2018. our forms were completed around Oct/Nov last year to join as his dependent this year. They took me with NO EXCLUSIONS as i was not a new member since i was moving from Bonitas to Bonitas with a different plan & membership number, until i went in for my first consultation at a GP but i called Bonitas before i went to go see the Dr as i wanted confirmation if i can see a GP & that there is no waiting period, the consultant confirmed that i can go & yes there is NO WAITING PERIOD, all claims were paid until i found out that i am pregnant & was sent to go see a gynea . the first two visits were paid, from the third visit the medical aid rejected the claims that needed to be paid . my husband paid cash for the other 3 visits that were rejected which was a lot of money. after the 1st declined claim we my husband & I went to Bonitas in Florida & spoke to the consultants there in person to find out what the problem is and explained our situation to the, the consultant could not see on the system what was wrong then went to go speak to his supervisor while we where there, after about 10 min he came back to us & told us there they will escalate it to management as they cannot see what the problem is and will revert back to us via email. My husband then received an email from Bonitas after a few days confirming that they are unable to pay due to waiting period now that is ridiculous as they should have informed us from the word go i am in the middle of my pregnancy and due anytime we will not be able to pay cash for labour while we have medical aid & had no exclusions. Bonitas needs to pay as i had different consultants confirming no waiting period now suddenly on the last minute we are told about the waiting period. i have all emails with regards to this matter.

Please help!

0
Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply24 Aug 2018, 13:22
Official

Hello *** ,

Thank you for submitting a comment to us through Hello Peter.

Kindly reply privately with the membership number in order for us to assist with your query.

Please note that your personal information is not showing on the public view platform.

Kind regards,

Bonitas Team