1 reviews | Active since Sept 2011
Hospitalisation and surgery shortfall
On the evening of the 14th of May 2023, I got injured and I didn’t sleep that that night because of pain. On the 15th of May 2023, I went to the Doctor (GP) and the Doctor said my cut it’s very bad and need specialist attention, and that I might need surgery. Doctor gave me injection for pain as I was in pain, then wrote me a referral letter to the hospital (to be seen by specialist).
When I got to the hospital, I was admitted and went for surgery the next day (16 May 2023) then I was discharged on the 17th of May 2023. The hospital’s bill was paid in almost full, shortfall is R7.14 only.
Specialist doctor’s invoice, it is R26 347.08. Bonitas medical fund only paid R9 190.49. They refusing to pay the balance of R17 246.58. I have made follow up with no luck.
Anaesthetic’s invoice is R10 920.61. Bonitas medical fund only paid R3 607.88. Balance is R7 312.73.
The overall shortfall that I must pay for this surgery and hospitalisation is R24 566.45. Where am I supposed to get such money whereas I am paying medical aid?
Why am I paying my monthly medical aid contribution and still get frustrated after my surgery?
Another frustrating issue is that last year(November 2022) I consulted with my Psychiatrist, Bonitas refused to pay that consultation fee and said I need referral to see Psychiatrist. I have been on antidepressants from 2018 to-date. Every month they pay for my antidepressant but the funny part is they refused to pay my consultation with my Psychiatrist. That Psychiatrist is the one who manages my medication and I need to see her after a while to see how is the medication treating me. BUT Bonitas refused to pay that consultation. I am due to see my psychiatrist, but due to this issues I don’t even know what do. For heaven’s sake I was diagnosed with severe depression, what will happen if I don’t take my medication because I am scared of incuring the costs? I need to consult my psychiatrist, please look into this as well.
I am so disappointed and frustrated by Bonitas medical fund. Please sort this bills out.
Please don’t give me reasons to shop for another medical aid.
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
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
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
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
I mean out of R26 437.08 that the specialist doctor charged you paid only R9 190.49. You did not pay even close to 50% that the specialist charged. With the balance of R17 246.59, you basically paid something like around 35% of that invoice and I must pay 65%? Where as I have medical aid?
I am paying medical aid contribution every month, where am I supposed to get the R17 246.59?
This is not not fair at all.
I am not happy at all. I use to be happy with Bonitas but now that has changed, or maybe I assumed I was happy but it might have been because I never had surgery before, and experienced this. There are lot of benefit issues I was not happy with and I had let them slide but now this has topped the list. I mean in times of need I am supposed to rely on my medical aid, and be stress free regarding payments because I pay medical aid and not to be in pain and still have payment issues as well.
If this won't be paid, just know that you lost me as your client and I won’t recommend you to anyone in my circle.
I mean out of R26 437.08 that the specialist doctor charged you paid only R9 190.49. You did not pay even close to 50% that the specialist charged. With the balance of R17 246.59, you basically paid something like around 35% of that invoice and I must pay 65%? Where as I have medical aid?
I am paying medical aid contribution every month, where am I supposed to get the R17 246.59?
This is not not fair at all.
I am not happy at all. I use to be happy with Bonitas but now that has changed, or maybe I assumed I was happy but it might have been because I never had surgery before, and experienced this. There are lot of benefit issues I was not happy with and I had let them slide but now this has topped the list. I mean in times of need I am supposed to rely on my medical aid, and be stress free regarding payments because I pay medical aid and not to be in pain and still have payment issues as well.
If this won't be paid, just know that you lost me as your client and I won’t recommend you to anyone in my circle.