MP
Mohamed P

1 reviews | Active since Jun 2011

01 Mar 2025, 15:56

I'm Done

1. Service has dropped drastically across multiple departments. A simple example is that I had a query, I start a whatsapp chat, I'm 94 in the queue TWO HOURS later I'm connected with an agent I missed the message at that time but the agent didn't bother to see that I had already put my entire query in the chat, after 20mins I'm disconnected This is not the only issue.

2. More claims are being rejected. I have 15 years in medical aid and yet it's still so difficult to get valid claims to be paid if for some arb reason they are incorrectly rejected initially.

3. Between Lancet and Bestmed you keep blaming each other, the has been for more than 6 years and both of you have still not gotten your process/systems sorted out.

4. Formularies are outdated and copays apply to drugs that are considered standard for the treatment, even when those drugs cost the same as the older version or an alternative that doesn't work as well.

5. PMB's: instead of taking the approach of what does a dependent need to stay out of hospital and cost the med aid the least amount of money, they try their best to do the bear minimum or at times less than that. Example 1: Each day a type 1 diabetic gets about 5 to 10 injections with needles. Needles are not supposed to be used more than once but most do. In a month that's 300 injections but on bonitas they only get 30 needles a month. each needle must last 2 days (2 different insulins a day) Example 2: a glucagon kit is essential for every type 1 diabetic. It literally saves lives or at least can prevent hospitalisation, yet this is not covered at all for type 1 diabetics.

6. All medical aids are expensive but as the medical needs of my young family increases the value from Bestmed decreases in comparison to other med aids.

7. Cannot get a care plan for my daughters PMB chronic condition for the last 3 years

0
Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply03 Mar 2025, 09:41
Official
 Hello Mohamed

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