RM
Rochelle M

1 reviews | Active since Nov 2023

22 Nov 2023, 13:21

Is anybody still working at Sizwe Hosmed. My pleading for assistance goes unanswered.

I have been a member of the erstwhile Hosmed and continue on with the Sizwe Hosmed group after their amalgamation. At this point I am beyond desperate. I have followed very process and crossed every t and dotted every i but to date, I have outstanding accounts that they say are duplicates from November last year, I battle to get hospitilisation authorisation and even the case managers at Life Eugene Marais will attest to the battle one has to endure to get authorisation for anything, even if one does, they send back accounts saying "not authorised", etc, even though I have a PMB registered on my file. You wait for over a week to get special Take Home Meds approved because they cant even read the word oral. At this juncture it gets worse, I have a long standing infection problem, was hospitalised, eventually went home and then 5 weeks post op, my leg burst open again, we did a culture and to date, 1 month later I still do not have authorisation for my meds, which should have continued after the last batch. The customer care agents can only say, we will escalate the matter but nothing happens, you send emails, there are trails of reference numbers but no reaction, it would seem that the previous case managers are no longer employed there, (they were really helpful) and so the nightmare continues. I have even sent an email to The Minister of Health, The Council for Medical Schemes and Sizwe Hosmed, asking them if they want me to die with all my reference numbers. To date, SH is mute on the matter....... extremely perturbing and this is not a new thing. They have increased the contributions in the middle of the year but even then, the service did not change, for the New Year, it has been increased between 9.5-13% increase, but with no concurrent increase in their service.

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Replies (2)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply22 Nov 2023, 13:41
Official
Dear Rochelle,

Thank you for submitting the query, we sincerely apologise for the inconvenience caused. 
We will be in contact with you to resolve your complaint. 

Sizwe Hosmed team 
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply22 Nov 2023, 13:41
Official
Dear Rochelle,

Thank you for submitting the query, we sincerely apologise for the inconvenience caused. 
We will be in contact with you to resolve your complaint. 

Sizwe Hosmed team