JJ
Johan J

1 reviews | Active since Dec 2014

15 Feb 2021, 12:49

Bonitas "quality healthcare" is a disgrace.

Bonitas Medical Fund is more interested in your monthly contribution than providing a good service to their customers! I went to my GP for a cure for my lower back pain. I received analgesia that had minimal to no affect on my symptoms. I was then referred to a neurosurgeon and further imaging (MRI and x-ray) was done. Due to the debilitating nature of the lower back pain and nil relief on analgesia, the neurosurgeon recommended surgery. Bonitas immediately declined authorisation and I was informed that I need to register with the Bonitas Back and Neck Program. After successful registration I was enrolled. I went for my assessment and the doctor at the Back and Neck Program informed me that I will need surgery. I was informed that the program will not work due to my condition and I have to go for surgery. The motivation was submitted to Bonitas and IMMEDIATELY the authorisation was declined again. No alternative options were provided. Quote from the Bonitas PMB document, "WHAT IF I NEED MORE TREATMENT THAN IS LISTED IN MY CARE PLAN? If you need treatment and care in excess of your Care Plan, a clinical motivation must be provided and assessed before more services will be covered." You got the motivation from YOUR selected Doctor and you still decline! What is the point of having medical aid if Bonitas do not even honor their own underwriting?? Bonitas is just another medical aid where you are just a number and not a service provider that go the extra mile to assist one of their 730 000 beneficiaries. Bonitas you can remove "quality healthcare" from your Company information as you DO NOT provide "quality healthcare" to all your beneficiaries. Congrats on your R4 billion financial stability, it clearly shows where your priority lies! As long as I keep paying you get more financial stability!! Bonitas is a disgrace!

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Replies (5)
Bonitas Medical Fund
Bonitas Medical Fund's reply15 Feb 2021, 13:33
Official
Hello Johan,
 
 Thank you for notifying us of your complaint, we are sorry to hear about this, we are glad that you have brought this to our attention. 
 
 Kindly provide your membership number privately (to protect you your personal information  not to be visible on this public forum) in order to investigate your enquiry. 
 
 Regards,
 
 Bonitas Team
Bonitas Medical Fund
Bonitas Medical Fund's reply16 Feb 2021, 01:07
Official
Hello Johan,

Thank you for submitting your details to us through Hello Peter.

This is to confirm that we have received your information and that we are currently investigating this matter.                                                                                                                                                                      
We appreciate your patience while we are resolving this query for you.
 
Regards,
 
 Bonitas Team
JJ
Johan J's update16 Feb 2021, 12:23
Reviewer Update
What is the turn around time for the query in terms of SLA?
JJ
Johan J's update17 Feb 2021, 12:24
Reviewer Update
The experience is not getting any better. I just received an e-mail communication that the surgery was declined again. I was scheduled for surgery on 10/02/2021 and 10 days (8 working days) later I still just get a decline with NO alternative options! Now you can surely see why Bonitas is a not a good medical aid. What are my alternative options to resolve my condition?! Absolutely pathetic service!
JJ
Johan J's update23 Feb 2021, 08:33
Reviewer Update
I see Bonitas do not reply. Bonitas do not discuss alternatives. The condition is my problem so live with it. After a lengthy conversation with a Call Centre agent I was informed that I would need to apply for a more expensive Health Care plan which will cover the surgery. Amazing how Bonitas will only help if they get more money. Be careful when you select Bonitas a medical aid. Bonitas will only help you if they can benefit, not you. I do not recommend Bonitas as a medical aid.