1 reviews | Active since Aug 2012
Punished at my most vulnerable time
I am so frustrated with Bonitad. I havr tried to be patient but they havr been pushing me from pillar to post. On 4 February I was admitted Fourways hospital for a hip repacrment surgery. Before that i requested for authorazation and i was told that there was a copayment of R35250 for using a service provider who is no contracted. When i inquired i wad told that it was for using a Dr who was not on the network. I was also told that Bonitas had a hip trearment plan which i was supposed to use. Now background...I have had the hip issue since 2018 and been to Drs and MRI scans claiming from the samr medical aid. I even had a hip op in 2019 and been to drs even after. All this time i was not being told about the treatment programme. When they told me about in February i was in deep pain and didnt mind paying if the Dr charges more than scheme rate. Also going to the Bonitas hip programme meant reversing efforts and wasting more money as the problem had already been diagnised...but the explanation i got about the programme is that it's meant to protect us from getting unnecessary hip ops....my situation was bad and the Dr wrote a motivation with results and everything. Back to the matter, two weeks into rwcovery i get a letter from the Dr's accounta deparrment showing that bonitas only paid scheme rate and i was surprised as i thought the R35250 was going to the Dr. Turns out the amount went towards my hospital account, just as additional punishment for using my prefered to...so i paid a shortfall and a copayment. My plan's benefit on hospital cover is unlimited. Fourways is one of the hospital i can be treated at under my plan without copayment. Why the the copayment? Bonitas tried to force it into the hospitl account...my benefits show that I have a benefit of R54700 for the prothetic hip, the exact amount charged by the service provider but to qualify the copayment bonitas paid R41000 and said it was scheme rate. What scheme rate when my Benefit is clear...I was eveb charged for being in higjcare among others. I have followed proper dispute channels but i am being frustrated. Bonitas said the hospital must contact their Case managers to rwmove the charge. The hospital has logged the matter twice and Bonitas is not responding. Imagine suffering and getting into debt because the medical aid refuses to check cases individually. I had no issues paying the shortfall for a Dr not on the network but the hospital is. Their scheme rules in this case also dont apply as i have explained when i get to know about their programme. What purpise does this penalty save? What lesson was I being taught when i was having such a major op. I cant wait for the year to end so I can move. I really trusted them but this is really frustrating me.
Your enquiry will be attended during office hours. Kind Regards
Bonitas Team
Your enquiry will be attended during office hours. 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 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 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
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
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
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
