If I can give anybody advice.....
<p>If I can give anybody advice.... Don't EVER join Bonitas. They are very quick to take your monthly premiums but will not honour their responsiblity. I was admitted into hospital for a burst appendix in March and an emergency operation was performed on the same day. This is called a PMB (life threatning disease). I was in so much pain by the time I got to hospital, I could not even walk. Had to take the surgeon that was available. According to law, your medical aid is supposed to pay all expenses in a PMB (life threatning disease) situation, but no, Bonitas refuse and have all kinds of excuses regarding the Surgeon's bill. I am so sick of it to call the Call centre where you find people who can not help you anyway. I really don't know what their purpose really is!!!!!!</p>
Hello celia-aggenbach-olivier
Thank you for submitting a comment to us through Hello Peter.
This is to confirm that we have received your comment and that we are currently investigating this matter.
Our representative will be in touch with you shortly to discuss this matter and ensure that it is speedily resolved.
Kind regards
Bonitas Team
Hello celia-aggenbach-olivier
Thank you for submitting a comment to us through Hello Peter.
This is to confirm that we have received your comment and that we are currently investigating this matter.
Our representative will be in touch with you shortly to discuss this matter and ensure that it is speedily resolved.
Kind regards
Bonitas Team
How long does it take to investigate Bonitas?? Still no answer from you???
How long does it take to investigate Bonitas?? Still no answer from you???
This is the pathetic response from Bonitas which I have received...... They still do not think that a Burst Appendix is life treatening... If your supposedly Medical aid don't even know what is life treatening....... Do you really want to be covered by them??????? See below their response.....
Dear Mrs Olivier,
Thank you for notifying us of your complaint. We strive to provide you with the best possible service, and when you feel that it fails to meet your expectations, it is important for us to know.
The claim for Dr. Eyal, for service date 14 March 2016, has been reviewed by our clinical team for payment at cost.
The claim has been declined for payment at cost for the following reasons:
1. The admission was not PMB (Prescribed Minimum Benefit) Level of care
2. A non-DSP (Designated Service Provider) was used
3. The admission was not an emergency according to PMB (Prescribed Minimum Benefit)
To further clarify our decision in terms of emergency PMB level of care; an emergency medical condition means the sudden and, at the time, unexpected onset of a health condition that requires immediate medical or surgical treatment, where failure to provide medical or surgical treatment would result in serious impairment to bodily functions or serious dysfunction of a bodily organ or part, or would place the person's life in serious jeopardy.
For a PMB proclamation, the treatment received must be for a PMB condition and PMB level of care or PMB emergency.
The claim shall therefore remain funded at scheme rates. The balance of the claim will be memberżs liability to the provider.
We trust that the funding decision has been clearly explained.
Should you require further assistance, please do not hesitate to contact our customer services on 0 ********** 08 or e-mail **********
Regards,
Lammetjie Mthetwa.
This is the pathetic response from Bonitas which I have received...... They still do not think that a Burst Appendix is life treatening... If your supposedly Medical aid don't even know what is life treatening....... Do you really want to be covered by them??????? See below their response.....
Dear Mrs Olivier,
Thank you for notifying us of your complaint. We strive to provide you with the best possible service, and when you feel that it fails to meet your expectations, it is important for us to know.
The claim for Dr. Eyal, for service date 14 March 2016, has been reviewed by our clinical team for payment at cost.
The claim has been declined for payment at cost for the following reasons:
1. The admission was not PMB (Prescribed Minimum Benefit) Level of care
2. A non-DSP (Designated Service Provider) was used
3. The admission was not an emergency according to PMB (Prescribed Minimum Benefit)
To further clarify our decision in terms of emergency PMB level of care; an emergency medical condition means the sudden and, at the time, unexpected onset of a health condition that requires immediate medical or surgical treatment, where failure to provide medical or surgical treatment would result in serious impairment to bodily functions or serious dysfunction of a bodily organ or part, or would place the person's life in serious jeopardy.
For a PMB proclamation, the treatment received must be for a PMB condition and PMB level of care or PMB emergency.
The claim shall therefore remain funded at scheme rates. The balance of the claim will be memberżs liability to the provider.
We trust that the funding decision has been clearly explained.
Should you require further assistance, please do not hesitate to contact our customer services on 0 ********** 08 or e-mail **********
Regards,
Lammetjie Mthetwa.