TA
Terusha A

1 reviews | Active since Aug 2019

15 Jan 2026, 09:50

Absolutely useless and inhumane medical aid scheme

This medical aid is an absolute disgrace. Despite having pre-authorisation and being admitted for an emergency C-section, my claims were rejected with no explanation whatsoever. They informed my doctor that the claim was rejected but claim they are “unable to give a reason” — which is both shocking and unacceptable. They do not answer their phones, ignore emails, and make it virtually impossible to speak to a competent human being. At a time when I was dealing with a medical emergency and the birth of my child, this medical aid added unnecessary stress, anxiety, and financial pressure. The level of service is pathetic, especially considering they have recently been under investigation, which now makes complete sense. If this is how they treat members during life-threatening emergencies, I shudder to think how they handle anything else.

This is not just poor service, it’s irresponsible and inhumane. I would strongly warn anyone considering joining this medical aid to think twice. When you need them most, they disappear, refuse to communicate, and leave you stranded with medical bills they should be covering. I would never recommend this medical aid to anyone.

0
Replies (2)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply15 Jan 2026, 09:52
Official
Dear  Terusha,

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

We appreciate your patience. 

Your Choice for Quality Care
 Sizwe Hosmed team
TA
Terusha A's update15 Jan 2026, 16:10
Reviewer Update
You guys are absolutely disgusting. I’ve waited on the line almost the entire day. Got through an agent, who gave me nothing but attitude and then cut the call. What service is this? I will definitely be taking this medical aid up. They are pathetic and rude, despite being wrong. I’m absolutely disgusted.

They asked for my details on here but never even got in contact with me. They don’t help customers yet they really quick to be taking their money every month. Their agents are extremely rude. I’m shocked