AA
Anoeschke A

1 reviews | Active since Mar 2023

26 Aug 2025, 14:38

Claims not being paid out!

I have logged a claim with Sizwe Hosmed on the 21st of July 2025 - after 2 weeks of emailing them and following up. the claim was approved. I was told the claim will be paid out on the 11th of August 2025, after a week I still did not receive the payment. I phoned and was told there was a problem with the payments that week and that it will now be paid out on the 22nd of August 2025 - again payment was not made. I phoned today and was told payment will now only be made on the 29th of August 2025. And I am sure they will have another excuse next week on why the payment was not made!

Makes you wonder if they actually have money to pay the claims! Since Sizwe and Hosmed became one medical aid there has just been issues and back customer service.

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Replies (5)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply26 Aug 2025, 14:52
Official
Dear Anoeschke, 

Thank you for submitting your query, and apologies for the inconvenience caused. 
Kindly share the query's reference numbers. We will investigate this matter and escalate the query for urgent attention. 

We appreciate your patience. 

Your Choice for Quality Care
 Sizwe Hosmed team  
AA
Anoeschke A's update26 Aug 2025, 15:05
Reviewer Update
I have received multiple reference numbers - Here are just a few:

WF***4N***3
WF***4N***6
WF***9N***1
WF***4N***4
WF***1N***8

You can check on my "file" as well, there should be a few notes for every time I phoned.
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply26 Aug 2025, 15:07
Official
Received with thanks, Anoeschke. Feedback will be provided. 
AA
Anoeschke A's update29 Aug 2025, 08:35
Reviewer Update
Still no feedback and still no claim payout!
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply29 Aug 2025, 09:01
Official
Dear Anoeschke,

We're glad to inform you that the query has been resolved. 
Feedback has been provided via email. 

The query is closed.