RM
Rehana M

1 reviews | Active since Sept 2014

03 Nov 2022, 11:42

Bonitas wields the Stick

I recently complained about Bonitas about the amount that gets refunded when one pays the doctor directly. The med aid punished me for not using a doctor who is contracted in their network. I understand that they want to negotiate the best rate so hurts them less. In my case the closest contracted in rheumatologist is about 25 km away. Being a retired person, I have to manage my expenses. So, for me to visit a contracted doctor, I have incur travel expenses and after due consideration , I choose to go to a doctor who is 5 minutes away from my home. I hope the Council of Medical Aids hears my story as well as that of many consumers who suffer the same punishment from their medical aids. In my case, I paid the Doc 900 and submitted my claim to med aid. After much complaining, I finally manage to get a reason why they did not refund me 618.40 as per the scheme rate. They took off 40% of this rate because I used the services of a non contracted in doctor! Where is the freedom of choice? If the med aid wants to force me to use a contracted in doctor, then they must provide me with a doctor who consults in my area. I know med aids cover their tracks by having all these terms and conditions. This is grossly unfair! If I were to be admitted to hospital, will I be subjected to the same 40% penalty? Bonitas forces me to use Pharmacy Direct for my meds or else I will face penalties again. If I had to go to my local pharmacy, I would have received my meds immediately. Day 3 into the new month, I am without meds to control high blood pressure. Waiting for delivery of meds! Please , do not give so much power to med aids. Protect the consumer.

0
Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply03 Nov 2022, 11:45
Official
Hello Rehana M

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 and our representative will contact you shortly  We appreciate your patience while we are resolving this query for you. 
Kind Regards

Bonitas