KM
Kylie M

1 reviews | Active since Feb 2023

10 Feb 2025, 15:08

Declined Pre-Auth!

My mother has been insured with Bonitas Medical Fund for 2-3 years and has never missed a payment; all payments are up to date. A few weeks ago, she experienced terrible pain in her right wrist. She tried to treat it on her own, but it only worsened, so she visited a specialist who performed X-rays and scans. The doctor confirmed that, unfortunately, surgery would be needed and that the condition would deteriorate if left untreated. She contacted the medical aid, expecting assistance, but instead faced delays in communication and a rejection for the procedure because her plan apparently does not cover this treatment (Arthroscopy). After further investigation, I was surprised to find that it is indeed covered in the brochure. She is on the Bonitas Select plan, which states that this procedure is covered, with only a co-payment required. Kindly reach out to myself or Linda immediately and I want this sorted today!

0
Replies (3)
Bonitas Medical Fund
Bonitas Medical Fund's reply10 Feb 2025, 15:33
Official
 Hello Kylie 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. 
  
We appreciate your patience while we are resolving this query for you. 
 
Kind Regards 

 Bonitas Team 

Best regards,

KM
Kylie M's update11 Feb 2025, 12:26
Reviewer Update
Bonitas Team, this seems very unempathetic! I would prefer someone to contact my mother today and obtain her authorisation. It's simple!
KM
Kylie M's update26 Feb 2025, 13:56
Reviewer Update
STILL NOBODY HAS CALLED MY MOTHER!!!!!!