FP
Ferron P

1 reviews | Active since Sept 2015

25 Aug 2021, 21:46

No information on networks for specialists. Call centre and website: deadend! An expensive and time-wasting medical aid

I went to a network GP who referred me to a gynae who was not on the network. I have to pay a copayment which is not great but manageable this one time. My mistake. However the hospital where the gynae practices is not in the network which means I'll need to pay 30% co-pay for the surgery I now need. Fine, I thought. I'll find a gynae on the network in future. So now I need a gynae and a hospital in the network. I don't want to go to the wrong gynae again and be forced to pay 30% co-pay. When I called Bonitas to find a gynae and a hospital in the network they told me they don't have that information. So my first option is that I either go to a network gynae and hope the hospital where they operate is also in the network or else pay a 30% co-pay on a big surgery bill. The other option is else I have to google each network hospital and see if they have gynaes and then cross-check that this gynae is also on the network. Do they expect you go to gynae after gynae hoping they work at a hospital that where the bill will be covered? Or call gynaes and ask where they operate and then cross-check that the hospital is in the network? This will take hours. It already has! This is also not made any easier by the fact the website is constantly not working. I can't log in to see my benefits. No specialists are on the website. The call centre operator was so unhelpful and also just expected me to be fine paying the co-pay despite me paying R3600 a month already! A horrible experience on the day when you're told you're sick and need an operation. I definitely won't recommend and hope I can switch medical aids soon.

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Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply26 Aug 2021, 07:18
Official
Hello  Ferron P 

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

The Bonitas Team
Bonitas Medical Fund
Bonitas Medical Fund's reply26 Aug 2021, 11:41
Official
Hello Ferron P
 
Thank you for submitting a comment to us through Hellopeter.
 
According to the telephonic conversation with our representative, we hereby confirm that your concern has been addressed and this matter has been resolved.
 
As Bonitas we strive to give the best customer service to our clients and appreciate it when you bring your concern to our attention when we have failed to deliver this service.
 
We apologise for any inconvenience caused to you.
 
Thanks and regards
 
Bonitas Team