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Eddie D

1 reviews | Active since Dec 2025

22 Dec 2025, 09:34

I had to pay medical bills of R30 000 from pocket because the doctors do not trust Sizwe any more

I had to pay medical bills of R30 000 from pocket because the doctors do not trust Sizwe any more. All my documentation with the proof of payment was send to them 1 month ago. After numerous calls R 210.00 worth of airtime still the same answer "it is with the payments department. I am without options other than the Ombudsman. My scheme membership nr. ***7

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Replies (7)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply22 Dec 2025, 09:38
Official
 Dear  Eddie,

Thank you for submitting your query, and apologies for the inconvenience caused. 
Kindly provide the query reference numbers. We will investigate this matter and escalate the query for urgent attention. 

NB: The reference number starts with the WF2025...N

We appreciate your patience. 

Your Choice for Quality Care
 Sizwe Hosmed team 
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Eddie D's update22 Dec 2025, 09:57
Reviewer Update
Ref nr for this claim WF***4N***6
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply22 Dec 2025, 10:55
Official
Received with thanks, Eddie. 

Feedback will be provided. 

Sizwe Hosmed. 
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Eddie D's update22 Dec 2025, 16:09
Reviewer Update
I send you all the necessary information. Still no payment in my bank account.
When can I expect payment in my bank account.
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply22 Dec 2025, 16:27
Official
We have escalated the query for urgent attention. 
Feedback will be provided as soon as it is available. 
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Eddie D's update24 Dec 2025, 08:57
Reviewer Update
So we are on the 24th December. Exactly 1 month since submitting my claim for refunding me for claims that I had to pay out of my pocket.
I do not know how the urgent escalation works but surely this means nothing. .This must be the worst medical aid in S.A. by far
I can now understand why they are in financial trouble and why members are leaving them in thousands.It is because of incompetant people which is getting paid from my monthly subscription.
Could I please have feed back as to when I will be paid.

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Eddie D's update30 Dec 2025, 10:41
Reviewer Update
Just another clear proof of incompetency for Sizwe.
Today I received a e-mail that the documents are unclear. So after 5 weeks this is the first time that they even looked at the claim never mind paying it. And that is after numerous phone calls and hundreds of rands of airtime. Each call gave us the same answer it is with claims phone again in 5 days time. This is ridiculous!!!!!!