PMB condition in hospital - claim not paid in full and no response from Bonitas and chronic med issues

<p>My daugther was admitted with a PMB condition (asthma).</p> <p> </p> <p>The medical aid did not pay the claim in full. Reason that the network doc was not used. My problem is that we do use the Network doc but he makes arrangements with another doc in the hospital for the hospital visits to take off (weekends off or certain days that he is not available).</p> <p> </p> <p>I requested our GAP cover to pay out the GAP, but they refuse because according to them PMB must be paid by the Medical Aid.</p> <p> </p> <p>I send through complains twice already - 11 May 2017 and 12 June 2017 but I don't get any answers, only an email with a "reference nr" with the following words:</p> <p>"This e-mail serves to confirm that we have received and are attending to your query."</p> <p> </p> <p>Yet NO feedback.</p> <p><br />Another issue is that they don't want to approve my daughter's chronic medication - Topraz. She got it without any problems at Topmed last year. Bonitas also cannot refer us to what they will allow to approve. They only direct us to the doc but he don't know what is available to use.</p> <p> </p> <p>I am very disappointed in Bonitas.</p>