Why waste your time reporting to Council for Medical Schemes

Called Bonitas in December 2025 for hospital authorisation, received authorisation and advised we will have to settle any claim out of schedule. We agreed to this and went for procedure. When accounts came they rejected the Dr full account and we requested that they just send us a letter stating why rejection so that we can forward to gap cover that doesn't pay unless the medical aids gives reason for rejection. Since then we have been up and down for 9 months now and even reported them to the Medical Ombudsman that sadly also just passes the mails between Bonitas and myself and does absolutely nothing further, in fact doesn't even read my mails properly as they asking for documents sent to Bonitas and Phumla Xuza (Ombudsman) third time in row now. I am definitely moving away from Bontas in December when I can and strongly suggest if you wanting to change to Bonitas to look carefully at their reports - hasn't been good lately

And reporting to the Council for Medical Schemes is an absolute waste of time has taken since 24th June 2026 to 17th September 2026 with no progress