GT
Gregory T

1 reviews | Active since Feb 2016

11 Jan 2023, 14:44

Disgusting service

I have tried for more than 5 months to get a refund for medicine which was authorised as chronic that I have paid for in cash. I have made more than 10 resubmissions without joy! I have spoken to more than 10 consultants and get told a different story every time. I get told that management is not available and even get the call dropped in my ear. The admin of this medical aid is pathetic and the staff working at the customer support center are useless,

0
Replies (8)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply11 Jan 2023, 15:02
Official
Dear Gregory, 

Thank you for the query and the provided reference numbers. We are now looking into your query and will reach you via telephone to provide feedback. 
Apologies for the inconvenience caused and thank you for your patience. 

Sizwe Hosmed team. 
GT
Gregory T's update11 Jan 2023, 15:06
Reviewer Update
That is what I have been told more than 10 times now and I am still waiting for a refund!
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply11 Jan 2023, 15:40
Official
kindly note that an email was sent to you with a request. 
Kindly respond at your earliest convenience so that we assist accordingly. 

Sizwe Hosmed team. 
GT
Gregory T's update11 Jan 2023, 16:02
Reviewer Update
And this will be sent to the claims department with no further action, I have responded already.
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply18 Jan 2023, 15:34
Official
Feedback was provided via telephone. 
The query is closed. 

Sizwe Hosmed team. 
GT
Gregory T's update26 Jan 2023, 19:54
Reviewer Update
So I finally got a refund today but it was less than what it should be!! All items are approved on the authorisation schedule and only a co payment for UNAT is required which is around R90.....some more poor service and incompetence!! Can you advise why there is a larger shortfall??
GT
Gregory T's update03 Feb 2023, 11:45
Reviewer Update
As expected, another week gone by and still no response!! Service in line with expectation
GT
Gregory T's update29 Mar 2023, 13:06
Reviewer Update
Another claim and another issue. Now Sizwe do not want to pay the doctor the correct rate as per the agreed schedule in their contract with Sizwe!