MG
MARTIN G

1 reviews | Active since Jan 2020

20 May 2026, 13:21

Get out while you can

Get out while you can!

Sizwe Hosmed initially refused to authorise a medically necessary knee replacement surgery until legal intervention became necessary. Even after the procedure was eventually approved, hospitals were still unwilling to admit the patient because of serious concerns about whether they would actually get paid by the scheme.

As a result, we were forced to pay massive medical expenses ourselves in order for the surgery to proceed. The operation was successfully completed, all claims were properly submitted, and yet months later Sizwe Hosmed still refuses to pay the approved claims.

Members are left financially devastated while emails and calls go unanswered. A medical scheme should provide peace of mind during a medical crisis — not create one.

Proceed with extreme caution before trusting this scheme with your healthcare.

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Replies (1)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply21 May 2026, 09:57
Official
 Dear Martin, 

Thank you for submitting your query, and apologies for the inconvenience caused. 
Kindly provide the query reference numbers and/ membership number. We will escalate the query for urgent attention. 

We appreciate your patience. 

Your Choice for Quality Care
 Sizwe Hosmed team