Bonitas Medican Aid

BONITAS - No Service Delivery - NO TRUST Still not response to my previous complaint.

This is a disgrace from a medical aid. You are putting up a front to reply that you are investigating the matter on Hello Peter but absolutely no response to myself. Not even any form of communication from Bonitas or any member of their team.

This is of concern regarding your service and maybe you will stand a better chance to explore other alternatives regarding medical aid as Bonita's does not care for it's members. As long as they can take your money and not pay for Emergencies.

The previous complaint was sent to Bonitas 26-06-2023

Bonitas Medical Aid, what is going on? I had a Motor Vehicle Accident and was taken to the hospital's ER via an Netcare 911 Ambulance, and this is a Hospital that is part of the Bonita's network. Now my claims are not being paid. When I queried this I got told that no pre-authorization has been requested. Pre-Authorization for an Accident?? Please explain to me how the pre-authorization must be done, when I am in an ambulance. Now I am sitting with bills that needs to be paid but I have medical aid, but the medical aid is rejecting most of the claims. Even the medication that I was given in the ER was declined. I had to contact the case manager at the hospital and they advised me that when I patient comes with an ambulance to the ER they do not request authorization due to this being an emergency. I had to contact the hospital and request them to ask for authorisation regarding my case. I was again informed that this is not standard practice. The Case Manager requested the authorization and now you have declined the request. Please can you tell me why should I have medical aid. This is not how a member must be treated and now that I have managed to get the hospital to request a authorization number then you decline the authorization.

Please can you contact me regarding this matter!! This is a total disgrace. I have expected more from a Private medical aid. Also,

Please note that the concerns have not been addressed.

The claim was sent for reprocessing and if I look at the claim status it has been rejected again.

The claim for the ambulance service was also not paid. Whereby Netcare 911 submitted the claim and I have submitted the claim on 2 occasions with NO Feedback. Herewith 2 claim numbers that I have submitted personally via the online app with absolutely no response. 010823Q56747 (9 Days Ago)

100823QSK0R5 (Today as I have received a letter of demand from the relevant service provider)

If possible can the lady who I have spoken to to contact me. To sort this matter out. As this matter has not been resolved as yet.

Also no feedback on the claims is a total disgrace.

This is a major problem for Bonitas and unacceptable.