When reason does not follow reason logic

I have spoken to Thabang regarding my query of the Maternity benefit 2x 2D ultrasound scans

My wife and I would like to do a 3D scan as its far more advanced and can conclude the gender of the child more accurately so we can prepare for the child. However we are willing to pay the cost of the 3D scan and submit the claim to Bonitas to cover the cost of a 2D scan. The remainder we accept as our cost to cover. My disappointment is that Thabang could not provide me a reason as to why Bonitas could not accept this logical approach, he could only reiterate that Bonitas has excluded 3D scans.

Please could you provide me a reason why Bonitas cannot cover the cost of a 2D scan even if it’s a 3D scan, as I will cover the remainder portion?

I use to be with discovery and they offer this method as its accepted as a new technology that can be utilized but as an added cost out of pocket by the client. I do not expect Bonitas to cover the full cost of a 3D scan but only the 2D cost portion they would have paid anyway.

My response from Patience Singo was that every treatment has the relevant chargeable and ICD 10 code updated on the system to process claims. Therefore when the fund receive claim for 3D scan it will be rejected as an exclusion.

However my question has not been answered for the second time. When I ask why… I mean by the logic to derive to your conclusion. Don’t tell me about your system restrictions as that is self-made by Bonitas and is illogical to conclude. one should question if the process is logical.

Please provide me a logical reason why? And lastly why can't this code be re-looked at if it’s not logical to deny 3D scans, even if the client is willing to pay the portion that he owes above the cost of a 2D scan? Discovery does it why must Bonitas be so left behind with technology or flexible to their client? It is a no loss situation for Bonitas as the cost will still be that of a 2D scan.