NM
Niresha M

1 reviews | Active since Dec 2025

22 Dec 2025, 20:09

Disgusting Medical Aid

My husband was admitted in hospital he needed to do a surgical procedure at St Augustine's Hospital. The surgeon made all the arrangements for the surgical procedure but the surgeon could not do the procedure becauseall the anesthesist are refusing to accept Sizwe hosmed medical aid because they Sizwe has not paid the anesthesists for the last six months so they will not accept Sizwe medical aid. My husband had to be discharged without the operation being done all because of Sizwe Hosmed. I have sat on the phone for 2 hours the rude consultant just cut me of without letting me speak and I was unable to speak to anyone. My husband needs to do the operation but cant because of this so called Medical Aid. Sizwe hosmed is gambling with people's lives. They are taking our premiums without providing the service. The medical council has to be notified of what's going on. You get no joy or help from this medical. How do we move forward if no one at Sizwe can help.

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Replies (5)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply23 Dec 2025, 08:21
Official
Dear Niresha,


Thank you for submitting your query, and apologies for the inconvenience caused. 
Kindly provide the member 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 
NM
Niresha M's update23 Dec 2025, 20:02
Reviewer Update
Hi my member number is ***. I need a definitive resolution on this matter. I urgently require for you to provide an surgeon and anesthesist that will accept Sizwe Hosmed medical. Can someone contact me urgently as we are getting no joy with the call centre. I need someone of authority who is able to assist. This is very urgent. This Sizwe Hosmed is gambling with our lives everyone needs to know about whats going on. I urgently require a response.
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply24 Dec 2025, 08:49
Official
Dear Niresha, 

Kindly note that the query has been submitted to our provider specialist and the authorisation department for urgent attention. 

Sizwe Hosmed
NM
Niresha M's update24 Dec 2025, 09:48
Reviewer Update
Good Day. I wonder why I am getting responses from Sizwe Hosmed when these queries appear on the Hello Peter platform. However when I actually contact your call centre when the agents finally do answer they cannot give responses or even transfer you to someone who is in charge. On my last experience your call centre agent just transferred the call without letting me complete what I had to say. The proper thing was for to have asked me if Ithere was anything further she could assist me with. She was from your customer care department and she wanted to transfer back to the authorisation department. I told her that I was already transferred from the authorisations department to the customer care department. I asked to speak to her supervisor and was about to ask her if she could get the supervisor to rather call me as at that point in time I was already on the phone for 1 hour. She didn't even say goodbye she just supposedly transferred the call I don't know to where. After another hours time of waiting the call just got cut. I have all the names and times of the agents I dealt with. I honestly feel that Sizwe Hosmed is only responding on this platform as they are afraid of a bad reputation but we are still nowhere closer to any resolution.
NM
Niresha M's update29 Dec 2025, 20:51
Reviewer Update
This is totally unacceptable I have not had any feedback as yet. How is Sizwe Medical aid getting away with what they are doing without any repercussions. I am paying full premiums every month only to be denied treatment. This is so unfair. I really need help to expose Sizwe Hosmed somehow through media and press. These ******* are getting away.