1 reviews | Active since Nov 2018
Disappointed with the service
My son was very sick on the 1st of June and I had to take him to the emergency room where he got all the help he needed and thankfully, he got better after being seen. Bonitas rejected the hospital claim on the basis that I did not request the pre-authorization first before my son was attended to/taken to the hospital, which would have taken between 24 - 48 hours to be approved, all this whilst we do have funds but apparently we are late to request authorization and as such, they will not be paying.
How do you seek authorization in cases of emergency, what is supposed to happen to the kid in the 24-48 hours we waiting for authorization , should the child die?
In cases of planned/scheduled operations yes, we will wait for the pre-authorization, but to expect us to seek one when we have a case of emergency, we have funds and you do not answer our calls after hours when we need help, what should one do?
The week before I took my son to the GP, he was given medication but he did not really get better, he got worse thus the need to take him to the ER.
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
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
Bonitas has rep**** and they are still rejecting my claim reason being that the hospital did not put the claim in time. So, how am I being penalized for something I have no control over, how is the failure on the casualty staff to do their doing the job my problem?
Declined: Late PAR as per scheme rule, no benefit
The explanation I got from the Bonitas consultant: The hospital was supposed to load you on the system for an emergency consultation but they did so late.
I wonder why Bonitas is trying to get out of this, will be changing my medical aid come end of year.
Bonitas has rep**** and they are still rejecting my claim reason being that the hospital did not put the claim in time. So, how am I being penalized for something I have no control over, how is the failure on the casualty staff to do their doing the job my problem?
Declined: Late PAR as per scheme rule, no benefit
The explanation I got from the Bonitas consultant: The hospital was supposed to load you on the system for an emergency consultation but they did so late.
I wonder why Bonitas is trying to get out of this, will be changing my medical aid come end of year.
I want to express my gratitude to this platform and Bonitas as my matter has now been resolved, I have received an apology email from Bonitas and they will be paying the hospital.
Thank you!
I want to express my gratitude to this platform and Bonitas as my matter has now been resolved, I have received an apology email from Bonitas and they will be paying the hospital.
Thank you!