ADDRESS URGENTLY!! UNPAID CLAIMS FROM ONCOLOGIST.

Ref 28951

Please actually do something, you haven't paid the oncologist for the treatment at all this year, its already over R20 000 in outstanding claims.

Sizwe is just ignoring me, or saying they are doing something and then that person just disappears.

So please, just figure out why you are not processing these claims. Please get it resolved.

I don't want to complain to the Counsil of Medical Schemes, and I don't want to cancel the medical aid as its a lot of headaches I don't need.

But if Sizwe keeps rejecting claims for seemingly no reason, and make it impossible to actually address it. Then I will need to make a plan.

Hi,

Thank you, but please actually give me feedback this time, I haven't had ANY feedback from all my attempts at contacting Sizwe Hosmed this year. Whether it be on Hellopeter, or email, or call centre, or manual claims.

I keep calling in chasing feedback and then the previous person I spoke to is suddenly a ghost and never existed, I can't ask for a manager because all the agents just tell me they are working from home there is no one else there. The reference numbers I get given from previous calls don't exist. which results in me creating another ticket. Or the calls just get dropped or your get stuck in a endless queue never to speak to anyone. The cycle just repeats over and over again.

I don't enjoy any of this, but you are making me increasingly desperate. I pay R13 000 for the medical aid. So I ask you to please actually give me feedback if you really want to help and keep your members/customers.

As mentioned before this is the absolute last chance i'm giving Sizwe before using all these hello peter reviews, call recordings, all the unanswered emails, and unaswered reference numbers as proof for a legitmate complaint against Sizwe Hosmed through the Council of Medical Schemes.

These empty promises don't pay the claims, and i'm not going to just suddenly wake up and forget about the mountain worth of debt Sizwe Hosmed is costing me.

We get held accountable for these unpaid claims, so we get hounded to pay them. I'm not going to suddenly forget. I'm starting to think that all this apathy towards your members is purposeful to get rid of your members.

So I ask you one last time, PLEASE actually take this as priority and please actually assist me to resolve my complaints and unpaid claims.

I need someone to actually take me seriously, and resolve my problems.

Thank you,
Stephan

Hi,

Can I please get an update on this, I reported this latest case two weeks ago, both to Sizwe Hosmed and here on HelloPeter. And as always, I still have not seen any progress being made, or received any feedback from any sources.

Please give me an update.

I will be calling Sizwe today, and if I actually get through to the helpdesk, i'm going to ask them for an update on Ref 28951.

If no progress was made in the last two weeks i'm going to take call the call recordings, reference numbers and mail threads to the Counsil of Medical schemes to report an official complaint against Sizwe Hosmed.

I have been trying to get this resolved for months now.

I can no longer sit back and pay out of pocket for medical practices or get harassed by debt collectors due to Sizwe Hosmed's incompetence or apathy (i'm not sure which it is or whichwould be considered worse).

I'm not asking for much.

My father is under PMB, he is going through Oncology treatments, you are approving and paying for the medicine (and I am grateful). But you have not paid a single claim relating to the actual treatment in 2026.

Now I don't know if this is due to misunderstanding, or malice. But obviously the medicine needs to somehow be administered by professionals which don't do it for free. It needs to be administered via IV, its not something we can work around.

So please, follow up with this, and get me some feedback.

Thank you,
Stephan