Claims not paid

Good day,

I am in need of help with my medical aid scheme not processing my claims and not providing reasons why claims are not being paid.

I am with Bonitas Medical aid (Boncap) and have been with them since June 2024. I pay my monthly contribution from my own pocket as I'm unemployed. On the 12 November 2024 I was scheduled to have a cesarean operation at Carstenhof hospital which I was approved, received all the authorization codes from the scheme to do the operation.

It's been 3 months I've been trying to get them to pay my claims (Hospital and Doctors) claims however none of that is happening. They keep telling the claims are being processed however nothing materialises.

I need my claims to be paid as I can no longer afford this madical aid as its causing me a lot of pain and headache. I've called day in and out still my claims are not paid no one seems to know what is the problem. I've spoken to agent names Hlengiwe, Zenanda, Kholiswa, Thapelo and supervisor by the name Jabulile Tlhapane which was of no help as she simply said the matter will be escalated up untill today my claims are not paid. I've emailed their claims department but all I received was reference *** *** *** ***

Someone needs to fix this as I want to cancel my membership it's not serving me no good. I regret having moved from discovery as they are the best when in come to medical aid. I wouldn't have suffered this much as a new mom with a new baby all this stress is too. People need to do the job. Whoever operations manager in the claims department must know his stuff is not doing their job including call centre manager of Jabulile.Tlhapane.