PjDV
Pierre jean De Villiers

1 reviews | Active since Jun 2011

31 Jul 2025, 18:24

Complaint – Out-of-Pocket Costs on BonStart Find Plan Despite First Claim

I am writing to express my deep frustration and disappointment with the BonStart Find plan. My children pay R2,621 per month for my cover — I am a SASSA pensioner, and every cent counts in our household.

Recently, I experienced inflammation in my arm and visited a doctor who is part of your network (Bonitas panel). Despite following the proper channels, I had to pay:

R121 for the consultation

R500 for prescribed medication

This was the first time I have ever claimed from Bonitas. I expected that, after months of contributions, I would be supported in my time of need — not handed unexpected expenses that I cannot afford.

This situation is unacceptable. As a pensioner on SASSA, I cannot cope with such surprise costs. I chose a doctor from your network and expected the medication to be covered or at least explained. No one informed me of co-payments or limitations on medicine.

Please explain:

1. Why was I charged R121 at a Bonitas-approved doctor?

2. Why did I have to pay R500 for medication — it was at the pgarmacy approved by bonitas start

3. Why is this happening on my first claim, despite consistent monthly payments? If this is how BonStart Find treats its members, I will have no choice but to escalate this to the Council for Medical Schemes and warn others not to fall into this trap.

I look forward to a written explanation, and ideally, a refund or credit toward my account. Regards, M Texeira ***

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Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply01 Aug 2025, 08:05
Official
Hello Pierre jean D
     
Thank you for notifying us of your complaint, we are sorry to hear about this, we are glad that you have brought this to our attention. 
         
Kindly provide your membership number or ID number of the principal member privately (to protect your personal information not to be visible on this public forum) to investigate your enquiry. 
          
 Kind regards
     
 Bonitas Team