Bonitas Medical Aid - A total "*******" medical aid My wife's experience

I have already published a review with regard to my experience with Bonitas Medical Aid but this is regard to a procedure that my wife had at our GP rooms which Bonitas also refused to pay for.

Bonitas 2018 Standard Option " out of hospital" benefits for member and one dependent are: GP consultations R5820 and R8430 for all other medical costs including medicines, x rays, blood tests and Specialist Consultations. At a network cost of R361 per GP visit the R5820 is 16 visits per year per couple. What couple is likely to use this amount and as the "standard option" has no savings, money not spent on GP visits is just lost to the member or a profit for Bonitas. In the past Bonitas used to have a "Blanket Out Of Hospital Benefit" which members could use to their best advantage but now it is divided into GP visits and other, and specialists are not considered doctors.

The cost of this option is over R6000 per month per couple.

In early May my wife had a mole removed from her back by our "network GP". This was done in the GP,s consulting rooms at a total cost of R931,23, which included 7 stitches, dressings etc. Although we still have over R4000 left on Bonitas GP visits, Bonitas only paid the R361 for the consultation and not for the procedure. When queried with Bonitas they advised that they only paid for the consultation by the GP and not any procedures done by the GP.

Do Bonitas really expect a couple to use R5820 per year on GP visits when they dont even pay for procedures by the GP or do they just allow an amount knowing that it wont be spent and they can just make a profit.

I have already made a complaint regarding the non payment by Bonitas of both mine and my wife's costs to the Council of Medical Aid Schemes and I await the outcome of this. Lets just live in hope.

If I have put a few potential members of Bonitas off belonging to this "*******" medical aid, I have at least achieved something.