Bonitas refusing to provide PMB

Subject: Ongoing Issues with Claims and Authorisations – Urgent Assistance Required Dear Sir/Madam, Please see below a summary of the ongoing concerns I have experienced with Bonitas Medical Aid: 1) Emergency C-Section Claims (27 February) I underwent an emergency C-section on 27 February after waking before 5am with severe bleeding while admitted in hospital. I was immediately prepped for surgery. We have already paid the gynecologist who performed the procedure, and for the past six weeks we have been trying to recover the funds from Bonitas—without any success. Each time I follow up, I receive a different explanation. Bonitas has requested a C-section template to be completed; however: The template has not been properly sent to me, my gynecologist, or the hospital case worker. Bonitas repeatedly sends an incomplete document containing only one page, despite stating that it is an 11-page document. As a result, the required documentation cannot be completed and resubmitted. Additionally, the anesthesiologist’s claim has been declined, which I assume is linked to the missing or incomplete C-section template. Claims are continuously declined without clear reasons. When contacting Bonitas, I am transferred between departments, receive no definitive answers, and am advised to call back after 24 hours. After six weeks, there has been no meaningful progress. 2) Medical Broker Access Issues I have attempted to appoint a medical broker to assist me, as I no longer have the capacity to manage this process. However, the broker is unable to access my file because Bonitas has not responded to their requests. 3) Declined Authorisation for Infant’s Critical Treatment My baby was born with Con******* Diaphragmatic Hernia (CDH), where his intestines were located in his chest, placing pressure on his left lung. He has since undergone surgery but continues to suffer from a lung condition. His pediatric pulmonologist app**** for authorisation for an RSV preventative injection, which is critical to prevent serious complications and possible hospital readmission. This request was declined, despite being submitted as a PMB-related emergency claim for his lung condition. Request for Urgent Assistance Given the seriousness of these matters, I urgently require assistance from a competent Bonitas representative who fully understands the systems and procedures and can provide: Clear explanations for the declined claims The correct and complete documentation required Immediate resolution or escalation of these issues Please advise how I can be put in direct contact with someone who is able to take ownership of this matter and provide effective support.