Horrible horrible bad service and , misinformation

I have to say Sizwe Hosmed service is so bad.

Firstly last year when I found out I was pregnant I called the scheme to let them know ( their wellness program) they told me I need to call back when I found I dr. This year Jan I called again and told them I found a Dr they told me I need a dr practice number, I told them I do t have the practice number yet as I haven't gone for my first appointment. They told me once I have the practice number I must fill out a form to register my pregnancy. After I did all that, that is after my first appointment I sent through the forms, they registered my pregnancy but all charges related to my pregnancy prior to the registered date will be charged from my day to day. Even though I called last year and in Jan prior to my first appointment. The money taken from my day to day was over 5k this was for the first set of standard blood tests related to pregnancy. After fighting with the call centre agents and their wellness programs I lost energy to deal with them.

The problem is that Sizwe gets away with so much by stating their small loopholes I've discovered this with this issue and many other issues.

2nd problem After claiming many many many times for dr appointment I called to find out what the status is of my claims. The call centre agent has the nerve to tell me the reason why my claim isn't being processed is because the dr charges out of medical aid rates, when last year when I called to to tell them I'm pregnant I asked them if they have a list of dr that does deal with their scheme they told me I can go to any dr and they will pay them. This call centre agent tells me my dr charges out of medical aid rates, I told her that when I called the scheme last year they told me they will pay. I asked her what gynecologist charges in medical aid rates she must advise me and I will happily go there. Now being this side of the Year my day to day has been exhausted because of the 5k the scheme refused to charge to the baby programme. I'm focused to pay for all my regular dr visite and my daughter meds from my pocket. Because even after pleading with sizwe to charge the pregnancy test to the baby programme the refused and told me about the date of the registered pregnancy even though I told them I called twice. I went as far as Sending a screen shot of the day I called and told them to track the call on that day, to show and prove I called.

3rd problem I was advised that my claim has been rejected as there is no authorization number.

I called sizwe to ask if you guys would cover my son's circumcision and you guys said yes but now I'm told I didn't get a authorization number.

This was a one day procedure and the consultant didn't advise me that I needed a authorization number. Also the Dr strictly deals with cash and not medical aids for this very reason

The problem I have with Sizwe is that your call centre agents don't inform you of the most vital and basic information they give you the bare minimum information. And this is how they get Away with so much

Sizwe I'd not a good medical I would never recommend anyone join them.

You pay so much money every month for them to not pay for anything, you pay medical aid fees and still pay out of your pocket because "of whatever reason they say"