Bonitas Medical Fund – Page 2

good day

Medical aid number [protected]

I added my husband on my medical aid effective 01.01.2023, he was on Discovery medical until the 31.12.2022.

I was never told that there would be a waiting period of 3 months- i have contacted them and was told no there will be no waiting period as he is going from 1 medical to another!

Now i get told a different story, because he is on chronic meds for asthma he will only be covered effective 01.04.2023 but i must still pay contributions!

I am totally disgusted with Bonitas, after being on Bonitas for 8 years.

Bonitas dictate that if a member doesn’t use PharmacyDirect, their sole provider, then a co-payment will apply. This co-payment can easily go into thousands of Rands when one is on chronic medication.

PharmacyDirect is owned and operated by AfroCentric and is an online pharmacy. This means that one can only correspond with them via virtual and telephonic exchanges and unfortunately, they are coming up short in service delivery.

It’s been over 2 weeks that I’m going without vital chronic medication due to their failure to deliver. Sending queries certainly has not helped speed up their service and there’s no sense of urgency.

I’m afraid that the only route would be a complaint to the Council of Medical Schemes if this continues.

All I can hope is that this doesn’t end in my premature death due to not being able to afford the chronic medication co-payment as that would certainly give rise to a wrongful death claim from my family.

How is that [censored]ing possible?  This is ridiculous! Up with a R1100 and I still have to pay for my medication because it's not covered by the medical!  I have to pay cash for specialists!  I pay cash for follow up blood tests!

I pay cash for most dentist procedures as this medical is actually just useless to meI receive a basic salary only.  I had a handful of savings I had to dive into because I'm barely getting through the month on what I earn now!

I will pay this amount if the medical fully covers the following for the entire year:

Tetralysal - R400 per month

Nordette - have to pay like R700 in every year.

EltroxinVitamins (currently using folic acid, vitamin e, Novavit, essential) Costs me +-R300pm

And specialists - Paid 2 visits that cost me R2000 Specific face washes and creams recommended by specialist for my rosacea that also costs me like R2000per month

This is really unexceptable!  I cannot afford this.  I will have to start looking else where

What did I actually use of the R18084 I spent on Bonitas this year? Probably nothing and now they expect me to pay R31200? What for?

How do you expect people to survive?

What about food, water, electricity (which we have anyway none of but is still expected to pay)

Please reconsider!

Bonitas membership no: [protected]. L Nel

Since joining the Bonitas BonEssential Select hospital plan on 1 August 2021 I noticed a late join penalty of 25% being applied to my monthly membership fee. This despite the official Bonita's membership policy clearly stating a penalty of only 0,5% for not being a member of an approved fund for a period of up to 5 years.

As background I have always since age 28 belonged to approved medical funds only with exception of a 10 month interruption period from 1 October 2021 until 31 July 2022 with the last fund that I belonged to being Momentum Health. In addition my certificate of membership of Momentum Health that was submitted during the Bonitas membership application process clearly confirms that NO late joining fees were ever applied by Momentum.

I have subsequently attempted to explain to Bonitas though official written communication without success, that Momentum Health as my last or prior medical fund would have raised late joining penalties if there were any membership interruption prior to joining them.

However Bonitas still insists on details of all prior approved medical funds to which I belonged as well as dates of membership which unfortunately I cannot recall or retrieve over such a long time spanning my entire working life, being 67 years of age currently. This also complicated by the fact that some prior funds do not exist anymore and that old archived membership records at funds that still do exist currently, are not comprehensive or complete.

My wife was diagnosed with colon cancer.

I then had to see an Oncologist and enquired about a list of Oncologists from Bonitas who I can use to exclude a copayment. For three weeks, no response. Eventually I was told that the pathologist which was suggested by the surgeon was not part of the oncology network. The Oncologist confirmed that they were registered with SAOC as per the requirement from Bonitas. Again, a long story short, I requested a list of oncologists from Bonitas. Eventually they sent me a spreadsheet indicating that the Oncologist I used were not registered. When I filtered on their spreadsheet, the oncologist was listed as registered. A lengthy telephone call with the oncologist division, being put on hold three times for them to confirm with their superviser who indicated that the oncologist was not registered, eventually discovered that they were registered. I was given a reference number to submit to claims to reprocess the claim. I then received a letter from Bonitas indicating the scheme rules with no explanation. My query is that I was aware if I don't use a network oncologist that I am liable for a copayment, but don't expect to pay a copayment if the oncologist is registered. I still have no confirmation and not sure with further visits to the Oncologist whether I must pay a copayment or not. I am simply being ignored. All these complaints were within a period of almost four months and find the staff at Bonitas very incompetent and no care towards their members. I have requested to speak to a senior person, but my requests are now being ignored. I pay a subscription to the medical aid for their services, but I am always in between the medical aid and the service provider even though I am not aware of medical terms or codes or whatever is required to ensure that the bills are paid. An exceptional medical aid with staff who is incompetent or don't care less for members

I have resigned from my previous employer on the 27th of June. I have sent numerous emails, which they dont respond to at all. Memberhip is a requirement at my new employer and I am still struggling to get my Bonitas memberhip terminated. Every time I speak to a consultant, they have a different excuse. First they told me that there is an arrears amount on my contributions, then I was told that there is a 30 day waiting period, then I was told that my previous employer did not send the request through from their side, today I was told that now there is a 60 days waiting period. So which is it? Terrible service, never join Bonitas, they do not value their members.

On 2nd of July 2022 I received Heart Arrythmia emergency Treatment at Busamed Gateway Emergency Centre, from the Hospital doctor who did an ECG before and after the treatment, as well as an intravenous infusion with medication to slow the heart rate down. The claim for treatment from the Emergency Centre was rejected by Bonitas ! I am very dissapointed and will likely cancel my membership as most of our claims are rejected by Bonitas.

Am highly disappointed with pharmacy direct, and I would like to know if is there any pharmacy that Bonita will allow me to personally fetch my medication personally, am on chronic medication, after my 6mnths check up from the Dr on the 11th of April I sent pharmacy direct my prescription but till today I have received my pills and it's been 3 days without taking my pills as there are finished, which means am defaulting as I had sent my prescription on time, please help is there a way I can take my pills at a pharmacy by myself... Please help

Sbahle Hlophe

[protected]

[protected]

HI,

My query/request goes back to last year August/September 2021.

I have been asking Bonita's to change the main member since last year August 2021 and till to date I haven't been assisted. its always been the Brokers fault when you follow up and still nothing changes.

At the moment I am not covered because I was suppose to finalize my application with Bonita's for the 1st of January 2022 and still haven't had anything from Bonita's.

I have sent numerous emails only to get a reference query number and called don't know how may times and again only to be told that my query is with the broker.

Now the worst is each time my request is not resolved I have to complete another form because of the inception date having to be changed on the form for the following month, what a nightmare! I have never ever receive such a bad service.

This broker thing is creating lot of problems for clients, Bonitas should deal with their client themselves from start to finish.

Good day
I am very disappointed in the way claims is handled by Bonitas, my husband got burned in April 2021 and Bonitas is not paying the hospital or the skin clinic or the pathologist. I am sitting with all these accounts that was not paid and Bonitas is not even coming back to let me know if they are still busy with the accounts or reason why they are not paying. This was an emergency situation where i needed help and did not get it - this is the reason a person have medical aid. I don't even get a call to let me know there is a problem like outstanding documents or no cover. I have been sending mails but i only get auto response with a query number on
Your query number is : 220921QSXYZM.
I would like if Bonita`s can respond to the mails i have send and solve the query or please call met on [protected]
I am on the Boncap option

I was admitted into hospital on the 4/05 and underwent surgery on the 07/05/21. My dr has used incorrect code which was later ammended, the secretary from the dr rooms and was assisted by a consultant. Mvulani vilakzi replied saying that code 2506/2467/1809 are all going to be paid but later there is rejection saying that 2506/2467 are rejected. This is totally unacceptable. I need this to be corrected immediately as this has been going on from may till current.

My contact number is [protected]

Hi , [protected]
Please urgently refer me to the CEO to make a call please . Im totally frustrated, stressed and getting even more ill day by day as my bills are just piling up. This is a pandemic and all my bills are taken out from savings . I was tested positive for covid on the 17 July 2021 and I am still struggling to recover . I have long covid syndrome. Marilyn Herron has been assisting me and she has been very helpful however im running out of time  and becoming even more sick day by day as she is in training and her responses are now negative and she is no longer able to assist me
1. I need all Dr Hansraj consultations to please be placed under pmb or annual . It seems the ICD 10 is incorrect.  Maybe the doctor is submitting incorrectly. She is my consulting doctor and assisting Me with my recovery however my benefit is now exhausted . I have more appointments coming and my consultations are now exhausted as my doctor Is using the wrong Icd code. I will end up dying should I not get the needed help. I need by gp benefits back and I need to advise the doctor to use to correct icd 10 as its long term covid so that pmb and overall limit can be used

2. Attached is the physiotherapy letter.  Can the physio consultation be placed under pmb or annual limit . Must a certain  icd 10 code be used . Please advise . I have made no appointment yet as the doctors are using the incorrect icd. I need direction..i need approval and advice on what icd 10 code to be used to be placed on pmb or overall. It's for covid after all.

3. I need to make an appointment with the physician . Can the physician consultation be placed under pmb or annual limit . Must a certain  icd 10 code be used . Please advise. As im fighting a losing battle as the doctors are using incorrect icd codes and exhausting the medical aid.i need approval and advice on what icd 10 code to be used to be placed on overall or pmb as the doctors are submitting incorrectly

4. I have purchased appliances as I had covid pneumonia as per the report from the doctor at sunninghill which was submitted to bonitas . I would not be able to get a referral now as it's a bit late now however discovery gives their covid positive patients oximeters for free. Why should I have have to apply for the necessary appliances needed in my sick state. I lost the slip for the steamer and the humidifier due to my condition so I will forget that.i did sent through the slip for humidifier, thermometer and the oximeter but that needs doctor approval for a sick covid patient. Come on guys. I had to use take a lot as I was bed ridden and clicks and dischem had no available cheaply priced items or all out of stock.

5. I sent in slips for medication purchased at dischem. The levy items can be left out and the other meds looked into under pmb . This is a pandemic totalling R 821.41
5. I also made an upfront payment for R 1200 at midstream hospital as I was terribly ill.

Can you please review as my recovery is depending on all this treatment  I need to get . Please help me . Im fighting for my life but all my gp savings is depleted and I can not recover without the needed help . I'm trying hold onto to the last R3000 day to day I have should anything further come up . I need my gp savings to be reinstated and covid to be placed under pmb and overall. I still have a long way to recovery

Please help me 

Edlin
Edlin.[protected]@gmail.com

[protected]

Membership [protected], surgery done on 03/08/2021. Medical aid approved the operation yet we had to pay R4400 before the operation could proceed. We submitted a claim on 18/08/2021 with no response. On 19/08/2021 a Bill of R3108. 44 was issued by die doctor for payment by us. Yet the operation was approved by bonitas. Why would we Pay for this if Gap cover is Part of the Membership.

I don't know where u guys get the nerve to deduct money from my payroll for the last six months... I am completely disgusted and want to be paid back. I am not even a member of this stupid scheme. My ID number is [protected]. I urge the public to run when they hear anything bonitas, highly inefficient and not very attentive staff member... Total crooks.

Good day. Please help me as I am desperate to get my membership certificate form Sizwe. I have phone twice and was told that they have sent a mail to the relevant department to ask for a member ship certificate burt to no avail.  I am ending my current membership on Wednesday 31st March at Netcare and my new medical want to give me a waiting period plus a penalty for late joiners because I am not producing the membership certificate.I was a member at Sizwe from 1.12.1999 until 30.9.2001 and my membership no was [protected].Please help as Im retiring and cannot afford the extra penalties as I will be on a tight budget.It will be most appreciated.RegardsRosemary HerselmanID [protected]

I am Sesi Roseline Maile member no 47001202815 on Boncap option. I have three beneficiaries which are, my spouse and my two kids (boys). I have a problem on my medical aid not paying my bills/accounts after consultation since last year either at hospitals or doctors surgery. I have thousands of rands that I OWE to mediclinic in Vereeniging and doctors around Vaal where my family are consulting. I cannot afford to pay all outstanding fees from them as I took each member of the family to health care knowing that I have medical aid which I was paying even during the lockdown period.

What frustrates me the most is that, I only get notification that I owe the doctor or the hospital after days of consultation. Ain't the medical approve before the service that they wont pay and state the reason why because both hospitals and doctors enquire from them before? They (Bonitas) don't even send me the message or inform me either way that they didn't pay my claim due to reason/s known by them. I think Bonitas is scamming us and taking both my and companies monies every month without any assistance. Really I am tired and frustrated of Bonitas, I don't know how many claims from the doctors and hospital for Relebogile Maile which is member no 3, Myself and Molebogeng Maile member no 2 were rejected please I need an explanation and I cannot afford to pay so many claims while I'm paying Bonitas every month.

My son is a transplant patient with bonita medical aid his medication was supposed to be dispatched two weeks ago, there was a shortfall, however we made payments, and on the friday a guy by the name brian phoned my son to say that he will receive the med's same day in the afternoon, this was on the 19th feb, we waited the weekend and still no delivery, this was medication to slow down the process of injuring his new kidneys, my son has been admitted to hospital from the 20th feb, today is the 22nd feb and he still waiting for his med's, now it's around 4 o'clock I phoned in they say that it will be delivered tomorrow, this is my sons health that this company is playing around this actually caused him to be admitted in hospital, I want to take this up further with pharmacy direct and want compensation for my sons health issues

Good day,

I'm a very unhappy customer not impressed with service at all.
I needed to re schedule my procedure as I did not received any authorization number. I keep on phoning in and sending emails as I do not get any feedback.
When I follow up on my ref Bon23712174 the lady told me the specialist referral number from my GP is wrong and as per GP its correct - No agent phoned or send email to inform me up until I phoned in.
I'm paying this medical aid for a year now and never used it. Now the first incident am getting this bad service. This is ridiculous and if its not getting sorted today then I will rather make a decision to move to another medical aid because this is unacceptable to wait this long for authorization number and no feedback from the scheme. Kindly email feedback to [protected]@gmail.com

Good day,

Following the POPI-act my information is not permitted to be given to any third party without my written authorization. This was done! Can you please phone me?

Goodmorning

I am Neliswa Matayile a member of Bonita scheme, my membership number is [protected], primary option and my ID is [protected].My husband Mandithini Matayile, code -01 is registered on Chronic medication and pharmacy director is a supplier. Apparently we have been so concerned that the pharmacy does not supply the v ectoryl plus as one of the medication on the doctors script. This has happened so long without noticing. My husband was in and out of hospital. They decided to kept victoryl plus as their co payment. They just decided, not asking nor how is important is the medication in my health. When I tried to understand they ignored me.
They just send this note:

PHARMACY DIRECT BANKING DETAILS : Nedbank, Account nr [protected], Branch code 198765. Please use your profile nr 3BE4D7 as reference.R145.49 ON YOUR ACCOUNT - THAT IS WHY VECTORYL PLUS CANT BE SEND OUT. THANK YOU
This note to me does not explain anything
Covit-19 is killing people and my husband is in risk.

The second one, I have been struggling with different accounts, not being paid and that put me on a tight corner, finding myself to pay more money on different accounts. I am sure, you notice there is a lot of money deducted from me for this medical aid. I would like to know therefore that there is no way that you can help me.

You can furnish me with you email as to send all account.

Mr. MANDITHINI MATAYILE

Good day,

Attached please find your debtor statement for the above mentioned hospital. Notwithstanding previous requests for urgent payment, it remains in arrears. Contact us within 7 days from this email date to avoid legal action being taken against you.

Failure to respond to us will result in listing at the National Credit Bureau.

Regards

Sophia Fourie

Credit Controller | Debt Collections

MEDICLINIC SOUTHERN AFRICA

Chardonnay Building

Brandwacht Office Park

Trumali Road

Stellenbosch

7600

PO Box 456

Stellenbosch 7599

T +[protected]

F +[protected]

Please assist:
Email: [protected]@gmail.com