1 reviews | Active since Jan 2025
Bad service
Good day, I have an unresolved query that dates back to 23 October2024. Every email sent results in an automated response stating that I will receive a response within 5 working days. To date I have never received a response! Every phone call results in being told that the matter has been escalated or re-escalated. Priscilla N*** Razia N*** Donal N*** Lesego N*** Hloni N*** My PMB application for Glaucoma was authorized on 19 June 2024. A claim was submitted for Glaucoma treatment dated 19 June 2024. This claim was paid from my Medical Savings Account not as a PMB. Razia in the claims department assured me that the claim will be reversed and the amount would be credited back to my MSA. She did explain that it would take 5 to 10 working days and I would receive a confirmation email in this regard. I am still waiting. As a result I have had claims rejected stating that my funds are depleted! In my opinion, this amounts to theft!! I am appealing to Sizwe Hosmed to escalate this matter to a senior person that has the required knowlegde and experience to treat this matter with the urgency that it deserved!!
Thank you for submitting your query, and apologies for the inconvenience caused.
Thank you for the provided reference number of the query. We will investigate and escalate the query for urgent attention.
We appreciate your patience.
Sizwe Hosmed team
Thank you for submitting your query, and apologies for the inconvenience caused.
Thank you for the provided reference number of the query. We will investigate and escalate the query for urgent attention.
We appreciate your patience.
Sizwe Hosmed team
As per your call centre staff this query has been escalated several times.
To whom does it get escalated and why do they not have the decency to at least contact me in order to explain why there is no resolution yet??
As per your call centre staff this query has been escalated several times.
To whom does it get escalated and why do they not have the decency to at least contact me in order to explain why there is no resolution yet??
Thank you for reaching out again.
Kindly be advised that we are working on your query. Feedback will be provided as soon as it is available.
The claim is still under review.
Thank you for reaching out again.
Kindly be advised that we are working on your query. Feedback will be provided as soon as it is available.
The claim is still under review.
This is totally unacceptable!!
Kindly provide an update on this matter
This is totally unacceptable!!
Kindly provide an update on this matter
Thank you for your patience, and apologies for the delayed response.
Kindly be advised that the claim was reprocessed for corrections (next week's payment run); it will be paid from the correct benefit bracket as per the authorisation details.
You will receive the statement as proof of payment as soon as it is available.
The query is closed.
Thank you for your patience, and apologies for the delayed response.
Kindly be advised that the claim was reprocessed for corrections (next week's payment run); it will be paid from the correct benefit bracket as per the authorisation details.
You will receive the statement as proof of payment as soon as it is available.
The query is closed.