JG
Johannes G

1 reviews | Active since Oct 2021

17 Jan 2022, 17:52

Disappointed with oncology department

My mother is 76 years old and was diagnosed with breast cancer , it was detected early and the oncologist considers the condition treatable and curable therefore making it a PMB condition that should cover her treatment inclusive of Specialised medicine.

The feedback from Bonitas declined Herceptin as it is a specialist medicine, I appealed the decision and within a short time feedback was given same result, the manager didn’t even call me back after I requested it, it seems that there was a complete lack of consideration if there was merit to the case.

In December 2021 my mothers treatment was started late as well due to admin error by oncology department recording our membership as terminated when it was not the case, I promised I will hold them accountable if something happens to my mother, after hours of telephonic engagement finally they saw the light and issued an authorisation number for cancer treatment, one would think they would have taken more care this time around when we app**** for the Herceptin

Very disappointed in treatment of the elderly and lack of consideration to the merit of the case

Very disappointed in this lack of service,

0
Replies (3)
Bonitas Medical Fund
Bonitas Medical Fund's reply17 Jan 2022, 18:50
Official
Hello Johannes G 
 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
JG
Johannes G's update19 Jan 2022, 18:24
Reviewer Update
We go through the process of lodging a request for revising the Herceptin decline even though Bonitas clearly states that specialises medicine is excluded unless condition is PMB, guess what my mother’s cancer is treatable and therefore a PMB condition that means Herceptin should be covered or I am I missing something.

Even the doctor’s motivation states clearly it is treatable and a PMB condition and still Bonitas declines the vital medicine to save my mother’s life

Can someone at Bonitas please wake up and phone me and then give me proper response as to why it is declined and not listed as PMB and then take lease to phone my mother and tell her why Bonitas will let her potentially die for lack of cover as PMB

Never seen something like this
Bonitas Medical Fund
Bonitas Medical Fund's reply22 Jan 2022, 20:26
Official
Hello Johannes G

Thank you for submitting a comment to us through Hellopeter.

According to the email communication, we hereby confirm that your concern has been addressed and this matter has now been resolved.

As Bonitas we strive to give the best customer service to our clients and appreciate it when you bring your concerns to our attention when we have failed to deliver this service.

We apologise for any inconvenience caused to you.

Kind Regards

Bonitas Team