NM
Nothile M

1 reviews | Active since Apr 2022

11 Apr 2022, 14:28

RIDICULOUS MARTENITY BENEFITS

I have been with Bonitas for over 5 years and had both my children, with one more on the way under the same scheme. I am very upset and confused as to why Bonitas has a Maternity Benefit, if it doesn't really benefit much financially. Pregnancy is a 9 months long, max and they have X2, 2D scans per pregnancy, the rest of the scans, the patient pays from their pocket, over and above the monthly contributions. They still say though, under benefits, that ultrasounds and x-rays are taken from ones day to day benefits, so how is a pregnancy ultrasound then excluded from that if one still has day to day benefits available. This is just the one query that I have brought to this platform, but I have struggled with Bonitas, including their Whatsapp service, every time when I request to speak to an agent, I am told that, ''all agents are busy, to try again later'', when I try again later, same response and one is forced to call. The call center and email agents are *********** in their responses and its always one brick wall after another. When I shared this with the Dr's rooms, I have received the same discomforts and this specific ultrasound benefit, with other medical aids that I have compared with, is not this ridiculous. How do you limit a 9 month pregnancy to ONLY 2 scans for that duration, how is that not taking a risk as its not a luxury to see how the baby is doing with every gynae visit.

The last claim that I made, that was paid for was also not paid in full but when I checked from my previous pregnancy, the Dr has been paid in full, despite a reason code stating that the scheme rate was less than what the Dr charged.

If I do not get this resolved this week, I will bring this up with the ombudsman as we cannot be charged full rates monthly and have to also pay for every gyanae visit when we still have day to day benefits that these payments can be taken from.

Regards,

Nothile Molebatsi

0
Replies (3)
Bonitas Medical Fund
Bonitas Medical Fund's reply12 Apr 2022, 10:52
Official
Hello Nothile M 
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) in order to investigate your enquiry. 
    
 Regards
  
Bonitas Team

Bonitas Medical Fund
Bonitas Medical Fund's reply12 Apr 2022, 22:16
Official
Hello Nothile M 

Thank you for submitting  the details to us through Hello Peter.
 
 We will investigate this matter.  We appreciate your patience while we are resolving this query for you. 
 Kind Regards

Bonitas Team
NM
Nothile M's update19 Apr 2022, 14:11
Reviewer Update
I have since waited for a response and I haven't received anything.
I will be going for my next appointment with my gynae and will be expected to pay from my pocket, which is what I am querying.