SK
Salome K

1 reviews | Active since Feb 2012

02 Feb 2025, 19:37

Still no feedback!!!!!

Chronic medication department is out of hand

I have NEVER been struggling so much with any PMB condition and medication. (29 nine days) Been 2 major conditions makes it far worst.

It seems that NO doctor is evaluating the cases, rather a team of client consultants. Discovery PMB and chronic approvals are signed by a Chief Clinical doctor. Dr. ...... Chief Clinical Officer | Discovery Health On behalf of Discovery Health Medical Scheme

and not just CHRONIC MEDICINE MANAGEMENT

THE STRANGES THING- MY DISABILITY ******* hemiplegic cerebral palsy has been declined. Not to say I contacted the Council of medical aids, and this matter is currently being investigated

This is evident on decisions made on questioning dosages prescribed by a SPECIALIST and one letter saying approval, while another is declining requests.

It is VERY embarrassing to tell your specialist his treatment and dosages are being questioned. Treatment and same dosages as more than 10 years prescribed.

Keep in mind that I was a member of Bonitas, +- 2 years ago and I NEVER had such nonsense. I regret joining Bonitas again, as a Discovery member, my specialists' judgements and diagnosis have never been questioned.

You are confusing me. "Chronic Medicine Management "not knowing what already was approved or not.

On my Updated Medicine Access Card with payment decision my botox is approved, I received a letter to confirm approval.

But today, I received a letter that it has been declined. Lawfully when you received an approval letter and updated medicine card, you can not deviate to decline. As I have an approval letter, Bonitas is obliged to pay for services and medication as per approval letter.

Also wrt my mental condition, I never used a certain medication, but my husband does. I have been on two medication for more than 15 years. Take note both are approved on your chronic PMB formulary C list. It seems that there is confusion with what my medication and his medication is. Reply (2) Salome’s reply 29 Jan 2025 at 22:55 To add to this yoke department, I after looking at the Bonitas app, saw that Prof van Coller my neurologist was also link and approved for my other PMB condition. which my other specialist had requested authorization for and was already approved, did nobody from the "Chronic Medicine Management" Call center, definitely nobody with a medical degree notice this. The Script clearly indicates type of specialists. If a doctor had reviewed the requests this mistake would not have happened. Worst the requesting condition which displays the condition name and specialists' details would not be rocket science.

Can I real doctor not a "consultant " please contact me in order to fix this mess. The fact that they linked me to my husband's medication is scary, While I have been begging to add my actual medicine and not questioning my specialists' dosages

Only automated reply, which is more frustrating

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Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply02 Feb 2025, 20:15
Official
Hello Salome  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.  Our Office hours are 08:00 - 16:00 Monday – Friday. Closed on weekends and public holidays
     Your enquiry will be attended during office hours.  Kind Regards
  Bonitas Team