ZL
Zizile L

1 reviews | Active since Jul 2021

09 Jul 2021, 11:25

Hospital authorization

My name is Ntombizizile Lwate I am livid by the service that I am getting with this medical aid. I recently joined Sizwe and just before my medical aid was approved in January I found out that I am pregnant. I immediately notified them on a call as well as on email. To me that would be disclosure. There was nothing sent to me to fill in but my medical aid got approved straight after I informed them. A few weeks ago I called them for hospital authorization for my delivery and one of their consultants immediately told me I will not be approved for authorization because I failed to disclose. I was later advised by another consultant to get my doctor to fill in a PMA form and send it back to them. I sent the form back to sizwe over 2 weeks ago and every time I call I am told that the medical advisers are still sitting with my query and its been escalated. I don't know how many times they need to escalate a call in order for it to be attended to. I ASKED TO SPEAK TO A TEAM LEADER THIS MORNING AND THE CONSULTANT SAID SHE WAS PUTTING ME THROUGH BUT INSTEAD HANG UP ON ME. I NEED THIS MATTER ATTENDED TO ASAP. I AM HIGHLY PREGNANT AND DO NOT NEED ALL THIS STRESS THAT I AM GETTING FROM THIS MEDICAL AID THAT IS MEANT TO MAKE MY LIFE EASY.

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Replies (2)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply09 Jul 2021, 11:52
Official
Dear Zizile,

We acknowledge receipt of your comments. One of our consultants will contact you shortly to assist with your query.

With Care
Team Sizwe
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply12 Jul 2021, 14:49
Official
Member has been assisted and query resolved.