SM
Shibu M

1 reviews | Active since Sept 2019

13 Feb 2026, 11:54

Bonitas move from medscheme is used to exploid practices

Bonitas sent emails assuring that its change of administrators will jot affect members nor providers, but did not keep their promise. I have been following up on a query where claims are paid to my practice with co-payment although the copayment on the copayment has been waived in 2020. After failing multiple times to reverse and reprocess these claims, Bonitas has decided to play a string game with me. At this point I am only addressing one case that i hoped would be solved by 2025 so that we can correct the rest of the Bonitas patients in my practice. I was asked to send paper claims, which I did. I was asked to escalate, which i did. I have references for all the 2025 months. I spoke to Latticia on the 23 September 2025, she liased with her Team leader “Kanel” and they asked me to send claims and call the following day and ask for the same team leader. From that day the team leader went AWOL and i was now expected to start the process all over again. Today 13 February, i found Latticia again and she attempted to make me startbthe process again but I reminded her of her promise with the team leader, she then asked me to hold for lesst that 2 minutes and she hunged up. On the 20 January 2026 I called asking for the complaints department, and i was told there is no such department. My case would be escalated and i must expect a call in 48hrs. Nothing happened still. The patient called after i gave them a statement requesting them to pay the co-payment to our practice since Bonitas is not co-operating, she was told over an email that the claims were reprocessed and paid to my practice, which is not true. They now do not want to answer why did they have to give the patient incorrect information knowingly. I am at a point where i have decided to stop treating Bonitas patients

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Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply13 Feb 2026, 12:03
Official
Hello Shibu M 
Thank you for bringing this to our attention. We’re sorry to hear about your experience and appreciate you reaching out.  
We will investigate this matter.
We appreciate your patience while we are resolving this query for you.  
Kind Regards
 
 Bonitas Team 
SM
Shibu M's update24 Feb 2026, 16:27
Reviewer Update
To date there was no communication received from neither Bonitas nor Medscheme. This is just an update to clear the misconception that their reply is trying to create. They do not prioritise anyone’s query, be it patients or providers. But they are very good with covering their incompetence and invalidating queries