BONITAS MEDICAL ****

<p>BAD!! BAD!! MOTHER F........!!! THIS WAS MY PREVIOUS COMPLAINT.We have been with Liberty for almost 5 years and paying for their top medical benefit to now be handed to Bonitas what a joke. Suddenly all medical claims including urgent operations declined. The latest one was for my 14 ear old daughter who needed an operation to remove a front tooth that grew into her jaw bone it was a vey delicate operation because it was under her nose and dangerous to remove. Bonitas rejected my claim and said they will only pay if the operation was done in a dentist consultation room which means she would be fully awake the whole time they were not willing to pay for the hospital.The operation had to be done in hospital by a specialist and it took a few hours.I had to pay everything doctors,hospital,medicine,anesthetist ext. The specialist gave me a report that stated it was a very delicate operation and there is no way that in can be done in a chair in a consulting room. I contacted Bonitas again and submit another claim with all the supporting docs from the specialist they aknowledge the claim but since then nothing happened not a word from them. This morning my wife went for an eye test they refuse to pay for the consultation. I have now lay a complaint with the CMS. Beware!!! Dont get caught there is other real Medical companies. THIS WAS THE ANSWER !!! Denis (Dental Information Systems) manages your dental benefits on behalf of Bonitas Medical Fund. Your query was forwarded to them for investigation and the response is as follows:A request for treatment was received by Denis on 03 February 2017. The authorisation was declined as the member¿s chosen option does not cover the benefit for the requested treatment (code 8981) to be performed in hospital. Benefits for treatment to be performed under general anaesthesia are limited to beneficiaries under the age of 5 years old and for extensive dental treatment only. Benefits for treatment to be performed under conscious sedation have been approved, general anaesthesia however, remains declined. DENIS(Dental Information Systems) NOT A HUMAN DECIDED ( request for treatment was received by Denis on 03 February 2017. The authorisation was declined. WHO THE **** IS DENIS A SYSTEM THAT DECIDES MY DAUGHTER CAN BE OPERATED IN A DENTIST CHAIR IN A DENTIST ROOM UNDER CONCIOUS SEDATION NOT GENERAL ANAESTHESIA. **** YOU DENIS AND BONITAS I WOULD LIKE TO SEE YOUR CEO OR ONE OF HIS CHILDREN HAVE A PIECE OF HIS/HERS JAW BONE CUT OUT UNDER CONCIOUS SEDATION BUT I AM SURE THAT WON'T HAPPEN. ITS NOT ABOUT THE MONEY I ALREADY MOVE TO ANOTHER COMPANY AND MY MONTHLY PREMIUM WENT FROM OVER R9000PM TO UNDER R7000.AND ANOTHER THING MY WIFE WENT FOR AN EYE TEST LAST WEEK THE CONSULTATION CLAIM WAS DECLINED FIRST ANSWER, YOU HAVE TO BE A MEMBER FOR MORE THAN A YEAR ,WE HAVE BEEN FOR MORE THAN 6 YEARS. OK SECOND ANSWER YOU ARE ONLY ALLOWED ONE EYE TEST EVERY 2 YEARS. THE RUMOURS ABOUT BONITAS FINANCIAL SITUATION SEEMS TO BE MORE THAN JUST RUMOURS. GET OUT NOW AND GET A REPUTABLE MEDICAL SCHEME. I WILL BE HERE EVERY DAY IF I CAN SAVE 20 PEOPLE FROM THIS PATHETIC LOT I WILL BE HAPPY I WILL BE REPORTING ON THIS SITE EVERY DAY TO HELP OTHER PEOPLE FROM AVOIDING THIS SITUATION.THANKS HELLO PETER FOR THIS SITE I WILL MAKE GOOD USE OF IT</p>