NH
Niresh H

1 reviews | Active since Jan 2022

06 Mar 2023, 13:56

Urgent assistance

Good day Bonitas. Hope you are well.

May I please request your assistance with 2 urgent queries which I emailed to you. They relate to the following:

1. My oncology benefit seems to be deactivated again as i cannot see the cancer benefit amount on the app. This has happened numerous times before, but it seems everytime you activate it, it gets deactivated again later. I have another checkup with my oncologist on 23rd Mar which includes a blood test so I urgently need my benefit to be activated.

2. I had a hernia repair and colonoscopy on 26 Jan at Netcare Umhlanga Hospital (as it is on your hospital network), but bonitas has indicated that they are only paying about 50% of the total hospital costs, leaving a shortfall of approximately R30,000 which i am probably liable for. Why is this as i went to a hospital which is on your approved network list and the hospital benefit is supposed to be unlimited. I really cant afford to pay this.

I have sent the above queries to your claims and queries inbox.

Please urgently help as i am extremely stressed and anxious about this.

My details are as follows:

Membership Number: ‪***‬ ID: ‪***‬ Cell: ‪***‬

Much appreciated.

0
Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply06 Mar 2023, 14:28
Official
Hello Niresh H

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 are investigating this matter.

We appreciate your patience while we are resolving this query for you. 
Kind Regards

Bonitas 
NH
Niresh H's update22 Jun 2023, 15:32
Reviewer Update
Good day. Point 2 in my query, regarding the hospital shortfall is still not resolved. I had to pay the hospital from my own pocket as they indicated that Bonitas again declined my procedure despite them sending all relevant documentation required for the authorization. I have sent you an email with all the details. Please can you urgently resolve as it has been 5 months now with no resolution.