SK
Salome K
Active since Feb 2012
76
Reviews
0
Industries
Reviews
76 reviews3 months ago
Non complaince
I am writing to formally contest the rejection of my claim for Dr. MM Visser regarding the consultation on 9 December 2025. The claim was rejected with the comment "Specialist referral required." However, this was a follow-up visit for a Prescribed Minimum Benefit (PMB) condition. The ICD-10 code G80.2 pertains to my PMB condition, and Dr. Visser is my designated PMB orthopedic specialist. Referring to the "BONITAS MEDICAL FUND ANNEXURE B OPTIONS: STANDARD STANDARD SELECT 2026," signed on 18 December 2025” by Mifana Maswanganyi Registar of medical Schemes. The Registrar of Medical Schemes has rejected the practice of denying such claims, thus you are committing *****. See page 5, paragraph B 8. image.png As I am unhappy with the outcome of the internal complaint process regarding this matter, I request that this dispute be escalated immediately to the Registrar's office of the Council for Medical Schemes (CMS).
56 replies
6 months ago
Excellent service
Dear Reabetsoe, Hope your day is going well. I wanted to express my sincere appreciation for the exceptional service you've provided. Your guidance, and dedication have made a significant positive impact, and I'm grateful for your support. Your ability to understand my needs and provide tailored solutions has been invaluable. Thank you for your professionalism, responsiveness, and commitment to excellence.
53 replies
15 months ago
Still no feedback!!!!!
Chronic medication department is out of hand I have NEVER been struggling so much with any PMB condition and medication. (29 nine days) Been 2 major conditions makes it far worst. It seems that NO doctor is evaluating the cases, rather a team of client consultants. Discovery PMB and chronic approvals are signed by a Chief Clinical doctor. Dr. ...... Chief Clinical Officer | Discovery Health On behalf of Discovery Health Medical Scheme and not just CHRONIC MEDICINE MANAGEMENT THE STRANGES THING- MY DISABILITY ******* hemiplegic cerebral palsy has been declined. Not to say I contacted the Council of medical aids, and this matter is currently being investigated This is evident on decisions made on questioning dosages prescribed by a SPECIALIST and one letter saying approval, while another is declining requests. It is VERY embarrassing to tell your specialist his treatment and dosages are being questioned. Treatment and same dosages as more than 10 years prescribed. Keep in mind that I was a member of Bonitas, +- 2 years ago and I NEVER had such nonsense. I regret joining Bonitas again, as a Discovery member, my specialists' judgements and diagnosis have never been questioned. You are confusing me. "Chronic Medicine Management "not knowing what already was approved or not. On my Updated Medicine Access Card with payment decision my botox is approved, I received a letter to confirm approval. But today, I received a letter that it has been declined. Lawfully when you received an approval letter and updated medicine card, you can not deviate to decline. As I have an approval letter, Bonitas is obliged to pay for services and medication as per approval letter. Also wrt my mental condition, I never used a certain medication, but my husband does. I have been on two medication for more than 15 years. Take note both are approved on your chronic PMB formulary C list. It seems that there is confusion with what my medication and his medication is. Reply (2) Salome’s reply 29 Jan 2025 at 22:55 To add to this yoke department, I after looking at the Bonitas app, saw that Prof van Coller my neurologist was also link and approved for my other PMB condition. which my other specialist had requested authorization for and was already approved, did nobody from the "Chronic Medicine Management" Call center, definitely nobody with a medical degree notice this. The Script clearly indicates type of specialists. If a doctor had reviewed the requests this mistake would not have happened. Worst the requesting condition which displays the condition name and specialists' details would not be rocket science. Can I real doctor not a "consultant " please contact me in order to fix this mess. The fact that they linked me to my husband's medication is scary, While I have been begging to add my actual medicine and not questioning my specialists' dosages Only automated reply, which is more frustrating
106 replies
15 months ago
Chronic medication department is out of hand
I have NEVER been struggling so much with any PMB condition and medication. (29 nine days) Been 2 major conditions makes it far worst. It seems that NO doctor is evaluating the cases, rather a team of client consultants. Discovery PMB and chronic approvals are signed by a Chief Clinical doctor. Dr. ...... Chief Clinical Officer | Discovery Health On behalf of Discovery Health Medical Scheme and not just CHRONIC MEDICINE MANAGEMENT THE STRANGES THING- MY DISABILITY ******* hemiplegic cerebral palsy has been declined. Not to say I contacted the Council of medical aids, and this matter is currently being investigated This is evident on decisions made on questioning dosages prescribed by a SPECIALIST and one letter saying approval, while another is declining requests. It is VERY embarrassing to tell your specialist his treatment and dosages are being questioned. Treatment and same dosages as more than 10 years prescribed. Keep in mind that I was a member of Bonitas, +- 2 years ago and I NEVER had such nonsense. I regret joining Bonitas again, as a Discovery member, my specialists' judgements and diagnosis have never been questioned. You are confusing me. "Chronic Medicine Management "not knowing what already was approved or not. On my Updated Medicine Access Card with payment decision my botox is approved, I received a letter to confirm approval. But today, I received a letter that it has been declined. Lawfully when you received an approval letter and updated medicine card, you can not deviate to decline. As I have an approval letter, Bonitas is obliged to pay for services and medication as per approval letter. Also wrt my mental condition, I never used a certain medication, but my husband does. I have been on two medication for more than 15 years. Take note both are approved on your chronic PMB formulary C list. It seems that there is confusion with what my medication and his medication is.
106 replies
19 months ago
****mers
I am so frustrated, has been trying to close my account since 21/10/21. I was made aware on 27 August 2024, after I wanted to open a new contract that this matter has not been resolved. It is concerning to me that although every time I interact with MTN which is a lot, I mentioned my email address is wrong, but nobody corrected it. It is salome and not salomie. Correct is salomekruger40@gmail address. I have been sending the POP to everyone I spoke to since February 2022. I made the payment on 6 February 2022 based on the email from Rapula Nyakalele and not the amount as per latest invoice of R145.00, indicating MTN owes me R4,00 since March 2022. You can write it off, I just need to conclude this matter. On 27 August 2024, I contacted MTN and again explained the issue with Portia Thoahlale, and forwarded pop again. I requested feedback on 6 September 2024 and 11 September. I do not even get a acknowledgement. I want a confirmation letter that the account is closed and inscription on Clear score be rectify. The amount MTN is owing me can be written off.
0 replies
20 months ago
Excellent service
I battled cancelling my on biller contract and was so frustrated with the back and forth of calls and emails but today I had a great experience with Thokozani Shezi from Team Mr Price Mobile. He was proffesional, understanding and kind. Surely an ambassador for the brand. Please convey my gratitude to him
53 replies
21 months ago
Excellent ser2
Can you please convey my appreciation to the cabin crew of Flight 352 Cape Town to Johannesburg on 21 July 2024. I am a frequent flyer making use of special assistance. I received excellent care. They ensured I was comfortable during the flight and made me feel at ease. It is rare to find such kindness hand in hand with professional conduct. For sure ambassadors for your airline.
0 replies
25 months ago
************** disabled member
I am a hemiplegic recognized PMB condition. G80.2 according to law all my accounts using this icd10 code must be paid. Why am I paying for all related accounts? To request clinical reports is crazy, I have been disabled from birth. Do you release how expensive it is to go to a dr to obtain such a report. Just to see by looking at me and of which I have been a patient for ever!!
106 replies
25 months ago
Policy number OT2857787
On 30 March 2023 I send a cancelation notice but up to date no confirmation letter To Whom It May Concern, I Herman Richard Kruger, am writing this letter to cancel my insurance. I would like this cancellation to begin effective 31 March 2024. Please cancel all scheduled payments. Please send me a confirmation of this cancellation letter. Kind regards Herman R Kruger Kind regards Still no feedback Show quoted text
0 replies
25 months ago
Disability PMB
How is it possible, to receive PMB IN hospital authorization even stating to help you understand your PMB and get the most out of it and a PMB pamphlet attached. I can not understand why suddenly I must submit a dr report and PMB application as proof of my PMB condition when applying for PMB OUT of hospital authorization. It is not a question of suddenly I did not have a PMB condition after been hospitalized. Due to my brain injury at birth, I always WILL be disabled. This is a brain injury at birth so when I used the icd10 code g80.2 in the past all my claims had been paid. Discovery even pay for my botox under code G80.2 I did not had to re apply for my Bipolar PMB which also is an ongoing condition or had to proof I still am Bipolar why must I submit proof of my more serouis brian injury. Pay a doctor to confirm I still am disabled after birth is money waste and ridiculous when Discovery acknowledged my PMB in a formal hospital authorization letter. First time in my life I had such a silly request. I was a Bonitas member for more than 12 years and never had such a request to apply every year for my disability. I lately has so many issues with Discovery wrt my disability, why? See authorization letter dated 7 February 2024 wrt PMB authorization
112 replies
Review Distribution
5 Star
20 (26.31578947368421%)
4 Star
0 (0%)
3 Star
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2 Star
6 (7.894736842105263%)
1 Star
50 (65.78947368421052%)