SM
Shibu M
Active since Sep 2019
54
Reviews
0
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Reviews
54 reviews2 months ago
Bonitas move from medscheme is used to exploid practices
Bonitas sent emails assuring that its change of administrators will jot affect members nor providers, but did not keep their promise. I have been following up on a query where claims are paid to my practice with co-payment although the copayment on the copayment has been waived in 2020. After failing multiple times to reverse and reprocess these claims, Bonitas has decided to play a string game with me. At this point I am only addressing one case that i hoped would be solved by 2025 so that we can correct the rest of the Bonitas patients in my practice. I was asked to send paper claims, which I did. I was asked to escalate, which i did. I have references for all the 2025 months. I spoke to Latticia on the 23 September 2025, she liased with her Team leader “Kanel” and they asked me to send claims and call the following day and ask for the same team leader. From that day the team leader went AWOL and i was now expected to start the process all over again. Today 13 February, i found Latticia again and she attempted to make me startbthe process again but I reminded her of her promise with the team leader, she then asked me to hold for lesst that 2 minutes and she hunged up. On the 20 January 2026 I called asking for the complaints department, and i was told there is no such department. My case would be escalated and i must expect a call in 48hrs. Nothing happened still. The patient called after i gave them a statement requesting them to pay the co-payment to our practice since Bonitas is not co-operating, she was told over an email that the claims were reprocessed and paid to my practice, which is not true. They now do not want to answer why did they have to give the patient incorrect information knowingly. I am at a point where i have decided to stop treating Bonitas patients
109 replies
15 months ago
Bonitas the Horror medical scheme
Given a chance please change from Bonitas. I am using Bonitas and busy qouting for a new medical scheme now and I believeso will my patients too. I have been complaining with calls and reviews and even informed that if they continue with their bullying then I will sfop treating their members. But they do not care, as long as they can wrongfully take the practice money, what happens to their members does not concern them. Poor patients have been calling bonitas with no sign of caring about their frustrations.
53 replies
15 months ago
Bonitas Medical aid targets provider claims in January 2025
I urge all providers to beware of Bonitas Medical Scheme this January 2025. I just receive a statement that claims that i owe the scheme more than R160K. Looking at the pdf file, it seems like they moved my claims to the main member whilst on the excel file its clear that i was claiming on the dependant. This is intentional, and its not the first time that i exprrience it. They usually do this to intentionally cause claim gems and traffics at the begining of the year. The painful part is i personally use the same inconsideratr Bonitas. I might as well find a new medical scheme and allow my patients to change also because i have been pleading with them to stick with bonitas even aftet they complained about their incompetence
109 replies
19 months ago
Transpharm pharmacies are ****mers
I have never heard of a big service provider like Transpharm, not having a ***** department nor complaints. This proves that fellow medical practitioners where right that they **** our accounts intentionally. Please bewarr, they will create ghost orders and when you complain, they will tell you that there is nothing they can do. I am even liasing with Private investigators to find out what is really happening
0 replies
23 months ago
Patient denied services due to *********** case manager
With renal case managers like Sibonisile our poor Gems patients are still going to suffer and surely mortality rate of renal patient will not decresase, unless they are doing this intentionally. We have been requesting for Assisted homedialysis Auth for month now for a patient in dear need of it but up to today we are being told of "qoutes". This patient has been admitted way too mich and we believe this couldve been avoided by treating the patient at home. Now I told Aphele to ask Sibonisele the renal case manager, what kind of quote do they want because there is a global fee for Assisted home dialysis. And I was told that I can not tell them what to do, there is no fee for Assisted home dialysis and if I say there is then I should send it to them. So I should teach a whole renal case manager her job now? And because they know that no action will be taken against them, you could've heard how Aphelele was holding up when I told him I will approach their complaints department with this. Future government employees should consider looking up for alternative medical schemes shame. Gems employees plays with the lives of their clients with no conscious even
106 replies
24 months ago
If outsurance can't do it for your business then no Insurar can!!
I was never interested in moving my assets to any insurer but speaking to Rose today made me admire outsurance even more. I have insured my medical practice and equipments from 2020 and i can confirm no insure is better at handling business related policies than outsurance. I called todat to request fora discount because my comercial vehicle is parked, and I was offered 1/3 off my premium for just being loyal and paying my premiums in time.
53 replies
26 months ago
Sizwe Hosmed abuses providers
My practice account have been parked from 2023 June Upton date. Every time I call I'm being told that "your claims were sent for reprocessing". Come to think that I even came through for this medical scheme by treating the patient whilst they wrongfully suspended the patient at some point!! I can not believe they are being this inconsiderate. I have names from last year June Upton today 14 February 2024, and all I am told is there is nothing they can do. As a provider you can't communicate with the claims or complaints department. Probably that is why their consultants service is this much poor. I am even thinking of rejecting sizwe hosmed patients in my. Rather they travel long distances for treatment so that they see a need to change from this *********** scheme. Hosmed was much better with medscheme.
116 replies
32 months ago
Rather buy VW ,Ford or any 22 Seater instead of Mercedes Benz Sprinter
Taking a decision to buy Mercedes Benz will be our life time regret for me and ny husband. Mercedes Benz polokwane has no respect for human beings in general. We have been calling for 3 weeks begging to be booked for service but till this day we have been transfered to a never been answered line. So is the manager's line. For a whole 3 weeks the manager and the Letticia, who deals with cormmicial car services, were not answering us. They are so unapologetic about disregarding us as clients. Imagine having to beg to service cars we purchase from them . Can Mercedes Benz SA tell us where should we service our cars if their dealerships do not want us
0 replies
34 months ago
Bosch hatfield sales **** of deliberately getting cars stuck after services and make clients pay for fixing them
I booked my car at this dealership on the 13 June 2023. My BMW X3 had no problems and had never gave me any engine lights until after collecting the car after service and it started loosing power and gave me a Drive drain alert which Quinton from Bosch Hatfield told me its an engine light. But now I am expected to take my children's money and pay for towing from Mpumalanga to Pretoria. They are still not acknowledging anything or excusing themselves for the inconvenience causes. I bet they will also try to come up with a plan to make me pay for their mess also.
0 replies
35 months ago
*****ulent Eskom is also taking bribes and servicing ******* imegrants leaving south africans out
How painful it is to see Eskom that costs us so much as a country giving imigrants, including ******* ones electrical connections and leave us those who pays fat Taxes out. There is currently a project at Kgaphamadi in kgobokwane(Limpopo) that is allerged to be using a particular map that left my yard put yet included stands that were bought 2 years and more later than mine. Also my yard is the only one sidelined from the whole connection and there is no explanation when I ask how did people who came after me got electricity including imigrants. I have requested to be qouted so that i may pay for my own connection since the poles are passing near by my yard, but still thos Chris who seems to be the project manager here is always unavailable. We suffer as south africans paying unreasonable Eskom bills and taxes, but when services has to be rendered we are last to be serviced. My partner and I went more than 5 times at Esk9n offices in siyabuswa, requesting to pay for our connection because there are poles near by but we were told that they will call us back till today. They even closed the offices so that they can come back with a map of paid bribery to tell us that we are not on the map. Eskom please explain how a map can include stand that came 2 years later than mine but leave my stand out
0 replies
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5 Star
4 (7.407407407407407%)
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0 (0%)
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1 Star
50 (92.5925925925926%)