DR
Dineo R

1 reviews | Active since Oct 2023

01 Apr 2025, 15:58

A couple of weeks ago I found out that the medical Aid has not paid a doctor for a procedure from 2024 The doctor has been trying to claim but the medical aid declined due to an error on their side

A couple of weeks ago I found out that the medical Aid has not paid a doctor for a procedure from 2024 The doctor has been trying to claim but the medical aid declined due to an error on their side. I have called multiple times and so is the doctor but now I was told the claim will be declined again because the doctor does not have a 60 day reference but the doctor has been trying to claim from last year Such a terrible medical aid including their customer service

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Replies (2)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply01 Apr 2025, 16:00
Official
Dear  Dineo,

Thank you for submitting your query, and apologies for the inconvenience caused. 
Kindly provide the query reference number. We will investigate and escalate the query for urgent attention. 

We appreciate your patience. 

Sizwe Hosmed team 
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply01 Apr 2025, 16:17
Official
Received with thank you, Dineo. 
Feedback will be  provided.