iS
itumeleng S

1 reviews | Active since Dec 2018

06 Oct 2021, 09:42

Bonitas refuses to pay my Emergency Room visits when my nominated GP is closed at night though I have Funds, leaving me at a risk to die in the meantime of waiting for the nominated Dr to open the next morning. The worst service provider ever!

I have subscribed to the Primary select plan under Bonitas Medical aid. I have been experiencing a lot of rejected claims when I take my 3 year old into emergency. Firstly I always ensure that I take her to a hospital that is on their selected network. 100% of the time I run to ER at night when my daughter is ill. When I get to Medi-clinic I always get attended to by a Dr that isnt under the network of Bonitas. So if my out of network benefits run out I become faced with a bill to pay to the Dr. On several occasions have I asked my medical aid to pay from my available fund and my requests was rejected. What is the point then of having a medical aid if you cant even use your funds under an emergency? So in other words my medical aid puts our lives at risk of fearing going to ER when you dont have non selected dr funds? so if my nominated Dr is closed i could be left to die until the Dr opens the next day. I am so disappointed with Bonitas this is the second time this happens it happened in 2019 as well. I think it's time I moved to a better caring medical aid

0
Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply06 Oct 2021, 09:55
Official
Hello Itumeleng S 

Thank you for notifying us of your complaint. We are so sorry to hear about this, we are glad that you brought this to our attention to resolve.
 
We will investigate this matter.
  
We appreciate your patience while we are resolving this query for you.
 
Kind Regards
  
 The Bonitas Team


iS
itumeleng S's update08 Oct 2021, 11:43
Reviewer Update
Good day Bonitas,

When can I expect feedback as my invoices now have been handed to itc collections ?