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CE
Catharina E

1 reviews | Active since Jan 2021

01 Jun 2023, 09:07

Dental procedure authorization denied

They denied my claim to go to theatre to have a dental procedure done. The reason why it needs to be done in theatre is because the bone around the inferior alveolar nerve orifice has calcified to an extend where proper anaesthesia is no longer possible. They expect of me to have the procedure done in the rooms where the dentist can’t give me the assurance that she will be able to numb the area with injections. I already had a bad experience previously where another dentist couldn’t manage to numb the affected area. I am not prepared to go through that kind of torture again.

0
Replies (7)
Bonitas Medical Fund
Bonitas Medical Fund's reply01 Jun 2023, 09:23
Official
Hello Catharina E
     
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) in order to investigate your enquiry. 
          
 Kind regards
     
 Bonitas Team
Bonitas Medical Fund
Bonitas Medical Fund's reply01 Jun 2023, 09:39
Official
Hello Catharina E
 
 Thank you for submitting the details to us through Hello Peter.
  
 We will investigate this matter.

We appreciate your patience while we are resolving this query for you. 
 Kind Regards
 
 Bonitas Team
CE
Catharina E's update02 Jun 2023, 10:16
Reviewer Update
Good morning,
I am trying my best to stay patient, but unfortunately I need an answer before 12h00 today otherwise my theatre day will have to move forward to the 3rd of July only.
Regards
CE
Catharina E's update02 Jun 2023, 15:59
Reviewer Update
Only received response from Bonitas at 15h24, much later than the deadline of 12h00. Hospitilization still declined. Will have to face the trauma in the dentist chair again. It seems as if paying all that money every month towards a medical aid is just a waste of time and precious money.
Bonitas Medical Fund
Bonitas Medical Fund's reply07 Jun 2023, 08:44
Official
Hello Catharina E Thank you for submitting a comment to us through Hellopeter. According to DENIS email communication, we hereby confirm that your concern has been addressed and this matter has been resolved. As Bonitas we strive to give the best customer service to our clients and appreciate it when you bring your concern to our attention when we have failed to deliver this service. We apologise for any inconvenience caused to you. Regards Bonitas Team
CE
Catharina E's update25 Jul 2023, 09:30
Reviewer Update
Bonitas rejected my appeal to have the procedure done in hospital. They do not have any plan currently available which covers this. I sat in the dentist chair yesterday as per their advice to have the procedure done. After three injections they still couldn’t numb the tooth successfully to allow them to finish the procedure. The best they could do was to tell me to appeal against the outcome again. In the meantime I am forced to use painkillers every four hours until they can be more sympathetic towards me. Unfortunately we can’t go to Discovery as my husbands employer don’t pay for them. I need Bonitas to urgently re-consider my appeal again please.
CE
Catharina E's update25 Jul 2023, 14:51
Reviewer Update
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