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Pierre M

1 reviews | Active since Dec 2010

22 Mar 2024, 09:27

Lousy service and disappointed

I once again have to lodge a complaint; I have started the process to lodge a complaint per my authorisations. According to your process I have to lodge with queries before proceeding to principal. This I have done. Received a ***; I was advised that I will receive feedback 3 - 5 days. This morning I received a mail saying that this query has been resolved????????? No detail given???????? I called to establish; the lady who answered was very rude and just transferred me, I then spoke to another lady, only find I am at Dental Auth. Gave her my reference and advised that it is related to my chronic meds. Told her it cannot be as it is related to my complaint and in the response refers to my subject matter when I mailed. She adamant and rude basically telling me I cant read. When I lodged my subject matter was: ***/ WF***3N***5 / NEO***A / *** [ WF***8N***4 ]; note the same reference at the end the same as this woman in Dental named Bon****e telling me it is chronic. I am certainly not blind and I can also read. I will pursue this matter now as this is absolute disgust considering considering how I got treated, the morning of my scheduled still had no auths' finally received it after 11am of the day. How was I supposed to have prepared for the surgery.

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Replies (10)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply22 Mar 2024, 09:46
Official
  Dear Pierre,

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 Mar 2024, 10:47
Official
Application is processed and outcome e-mailed to member. 

The query is closed
PM
Pierre M's update22 Mar 2024, 11:47
Reviewer Update
Kindly forward outcome, have nothing in my possession on outcome of my complaint! I am failing to understand that you say "Query closed"
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply22 Mar 2024, 13:07
Official
Dear Pierre, 

Kindly note that the letter was re-shared via email. 

Sizwe Hosmed team. 
PM
Pierre M's update22 Mar 2024, 13:13
Reviewer Update
I am astounded to your responses as this is not what I am referring to; I have had my Prolia injection back in october which lead to my jaw issue, I am not asking for auth confirmation on this nor my blood pressure meds. I am referring to my complaint lodged, refer to my subject matter and also the reference received:
RE: ***/ WF***3N***5 / NEO***A / *** [ WF***8N***4 ]. Again, it is proven, that we not on the same page and instead referring me to the injection which was approved in October nowhere near to what I am complaining about. It is for this reason I am escalating to highest of levels and get action!

PM
Pierre M's update22 Mar 2024, 13:40
Reviewer Update
Have sent you a mail response as well, kindly take the time to read carefully. I do not need info on the Prolia Injection. I need a response to may complaint lodge.
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply22 Mar 2024, 13:59
Official
Noted with thank you. 
Feedback will be provided as soon as it is available. 
PM
Pierre M's update22 Mar 2024, 14:16
Reviewer Update
Thank you and trust you can understand, this has been the lowest I have been treated in my life especially with me having most excruciating pain. This matter has been since 28th February 2024, I stooped so low even sending evidence of my chronic illness's, scripts, can't even say how much to prove and cry out for consideration. I have never been so humiliated as today; got told, read your mail or can't you read? This is the lowest and all I am seeking is Sizwe's assistance and understanding to reconsider; I say this with tears rolling down.
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply22 Mar 2024, 14:52
Official
Oh dear, Pierre, 

We sincerely apologise for contributing to your pain. 
We are handling your query, we will share feedback. 
PM
Pierre M's update22 Mar 2024, 14:56
Reviewer Update
Thank you, much aprpeciated.