KD
Kirshni D

1 reviews | Active since Aug 2021

04 Dec 2025, 10:07

Amount available but granted Half!!!

I would like to bring an urgent matter to your attention regarding my client’s hearing aid authorisation.

After waiting a full month for authorisation, we called in on 31 October to confirm the status. We were informed by the consultant that authorisation had been granted, and we were provided with an authorisation number for two hearing aids. Based on this confirmation, we submitted the claim on the same day.

However, we are now being told that the authorisation was only for one hearing aid, despite the client clearly needing two, and despite the available benefit. I also have the call recording where the consultant confirms the full authorisation amount of R30,000 for a pair.

We have tried multiple times to get assistance to correct this matter but have received no resolution. Unfortunately, this is not the first time we have experienced this issue with Sizwe, which is extremely concerning.

Kindly assist in rectifying this urgently, as the client is waiting and this delay is unnecessary given the clear information provided at the time of authorisation.

I look forward to your prompt response.

0
Replies (2)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply04 Dec 2025, 11:59
Official
Dear Kirshni,

Thank you for submitting your query, and apologies for the inconvenience caused. 
Thank you for the provided 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 
KD
Kirshni D's update23 Jan 2026, 09:51
Reviewer Update
Good day

Kindly note that this matter has still not been resolved. A consultant I spoke to on December 24th had advised it has been updated and payment will be made and a month later still no response. Reference number:N***.

Please advise.