TA
Terusha A

1 reviews | Active since Aug 2019

26 Jan 2026, 08:45

Disgusting, ***********, and heartless service

This is my second review because Sizwe Hosmed clearly has no intention of improving.

My C-section claim has been rejected repeatedly with no explanation whatsoever. Not a single valid reason. No transparency. No accountability. Just automatic rejections while I’m left chasing answers after a major surgical procedure.

Trying to contact Sizwe Hosmed is an absolute joke. Their call centre agents are rude, unprofessional, and abruptly cut calls instead of assisting. Emails go unanswered, phones go unanswered, and follow-ups are completely ignored. This is not inefficiency — this is gross negligence.

I was contacted by Mbali Ludidi from 3Sixty Health, who claimed the matter was “resubmitted.” Since then, there has been dead silence. I have repeatedly tried to follow up and cannot get through to anyone. No feedback. No updates. No sense of urgency.

What makes this even more disgusting is that this involves a C-section claim — a medically necessary procedure — yet members are treated with complete disregard and zero empathy. The stress, frustration, and emotional toll this causes during an already vulnerable time is unacceptable.

Sizwe Hosmed takes members’ money every month but fails spectacularly when it’s time to pay legitimate claims. This level of service is shameful, ***********, and cruel.

I would strongly warn anyone considering this medical aid to think twice. If you value basic human decency, communication, and reliability, avoid Sizwe Hosmed at all costs.

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Replies (2)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply26 Jan 2026, 09:19
Official
Dear Terusha,

Thank you for submitting your query, and apologies for the inconvenience caused. 
Thank you for the provided query reference 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 update10 Feb 2026, 10:45
Reviewer Update
Sizwe Hosmed claims the C-section claim is “in processing,” however the doctor’s office confirms nothing has been processed and no payment has been made.
Over a month later and still no resolution, no transparency, and no accountability. They are so disgusting. From 3sixtyhealth - Mbali Ludidi told me the claim has been processed yet nothing has been paid for months.