KP
Kolo P

1 reviews | Active since May 2009

18 Aug 2023, 08:16

Bonitas worse than Discovery

so i arrived at Unitas Hospital just after midnight with shortness of breath, tight chest and wheezing. i was attended to in casualty and had to do x-rays and blood tests to determine the level of infection. was discharged around 4 in the morning with a prescription. Bonitas now tells me that although the hospital is on their network the attending DR is not and as a result they are refusing to pay. was i supposed to wait for a dr on the network to show up? how many GP are open in the middle of the night. they have given me the same reason with regards to the radiologist. where was supposed to go to at midnigh grasping for air. we pay medical aid in the hope that in case of an emergency i have cover but no, not when with unitas. i might as well not have medical aid if i cannot get covered in an emergency

0
Replies (3)
Bonitas Medical Fund
Bonitas Medical Fund's reply18 Aug 2023, 08:31
Official
 Hello Kolo

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 are investigating this matter.
  
We appreciate your patience while we are resolving this query for you.

Kind Regards

Bonitas Team. 
KP
Kolo P's update07 Sept 2023, 08:15
Reviewer Update
so a lady from Bonitas called me and said that she will resubmit the claims and that i will be charged a 30% penalty and the rest will be paid. now imagine my horror when i get a statement that on the one account of R1373.30 Bonitas is paying 380 and the balance is for my account. how is 993.30 30% of R1373.30? ****s
KP
Kolo P's update15 Sept 2023, 15:20
Reviewer Update
so i phoned Boncap and nobody is able to assist me. I spoke to Odil who told me that the scheme only got my claim 2 weeks later hence i need to pay 30%( they still have not paid the 70% as per previous communication, this is false as i have an email from Bonitas on the 17 August regarding the claim. i went to the hospital on the 15th August. i was then transferred to Katlego for an explanation as to why the claim was not settled, who then told me that he cannot assist me at all and i need to speak to someone else. i was then transferred to Abigail who also suprisingly could not assist me. so a month later, claim has not been paid. nobody knows what is hapenning and cannot give me any information at Bonitas. after being on the phone for a good 40 minutes i cut the call without any help whatsoever. have always given bonitas a 5* and at the moments i have to give them a minus * if i can. really really terrible service