UNPAID GYNECOLOGISTS

With Bonitas so far I have had the worst experience. I have consulted a gynecologist twice, first in May and in June. I also went for a second opinion to another gynecologist in August which cost me R1900 that I have been trying so hard to claim back. Now it's September and I find out two claims have been rejected because I didn't have a referral letter. Uterine Fibroids cannot be fixed by a GP and now I'm told there was no referral from the Gp. I went to the gynecologist knowing that I have Fibroids that are shrinking and dying inside me.

Ofcourse there is no referral from the Gp because on my previous medical aid I went for an Uterine Fibroid Embolization and I was supposed to go for my 3rd checkup with a gynecologist six months after the 2nd checkup which by then I was now with Bonitas. It wasn't like I was going for an investigation by a gynecologist. It was something that was treated before and which needed to be continued with a Gynecologist not a GP.

When they recieved and rejected the claim the 1st time couldn't they have called or even email and inform their client that "mam you attended a gynecologist without a referral so we are going to reject this claim but please next time start at the GP", even if one knows that the GP can't do anything about my problem, but no, pay 2 doctors anyway and deplete your funds.

Now the results are that I have to go for an operation to remove these fibroids, I worry if I'm gonna be told that a Gp must remove the fibroids. There is proof that I saw the Gynecologist and yes it was to check Fibroids and was even sent to hospital for scans which showed the existence of the Fibroids still. The scans that they paid for. I had no problems like this with Discovery because people are treated like they have working minds.

We are paying almost R3000 from our pocket and the company is paying the same, to be told we can't pay because of a referral. Then give me some of the money I have been paying you to pay these Dr's bills. This is a system that is failing the clients, yet it is not being revised because it saves the medical aid money, my money. I hate how this medical aid doesn't communicate with its clients. I am going to investigate why must companies only agree to pay a certain medical scheme and not allow us to choose a medical scheme. It's a system of oppression and infringes upon my right of choice. A right to choose a good medical aid. They do not pay for gym, which means obesity is fine with their company. When one has been with medical aids as good as Discovery, being with Bonitas feels like a demotion of some sort, yet one is paying the same price for a Standard option.

They're staff is *********** in regards to the fact that we sent a claim of R1900 many times and they claimed to have not received it and eventually when they do recieve it, on realization that we sent the wrong paperwork nobody calls to inform us. No, they just ignore and we have to call again and send emails and only be informed later that "oh by the way you sent the wrong paper". Then I send the right paper and there is no feedback informing me that we have recieved the claim and are working on it. How special are you. It's as if we are not paying you, you are working out of pity. We are paying someone's salary a month and you can't afford calls to your clients? Ae sies man I'm disgusted with this medical aid company. I will go as far as it is legally possible to find out if this company cannot allocate us back with Discovery. I'm paying moes the same amount.