SK
Shannon K

1 reviews | Active since Apr 2021

05 Jul 2023, 09:43

Mr Kammies

I am very sorry this morning but I would never recommend this medical aid to anyone, I am looking elsewhere right now but it's a load of *********** people working at this company it's my first baby born on this scheme and believe me never agian, all of the claims for the delivery is still unpaid the, overseeing pediatrician is unpaid I'm receiving the statements where everything is being moved journal to patient but my authorization show's no co payment for the whole delivery so I don't know I believe taking this matter to court besides the council for medical aids is the best option now

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Replies (3)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply05 Jul 2023, 10:03
Official
Dear Shannon, 

Thank you for the provided query.
Kindly note that we are currently working on your query. Feedback will be provided as soon as it is available. 

Apologies for the inconvenience caused and thank you for your patience. 

Sizwe Hosmed team. 
SK
Shannon K's update07 Jul 2023, 16:11
Reviewer Update
I dot have word anymore sizwe gave me and wife authorization on the 25th of April for her c section that shows valid from the 27th the day my baby was born, till 30th Sunday when she was discharged now with the hospital seeing that and claiming for the 27,28,29 which is 3 days and being discharge the Sunday morning with the doctor coming to discharge my wife at 13h00, the hospital charge for the 30th now I see on the authorization certificate it shows 27 till 30 valid this morning sizwe amended the same authorization for 27 till 29 now who is liable for the 30th when the doctor came late and and why does the authorization show clearly valid till the 30 and all of a sudden being change to 29 I have forwarded both authorization certificates to my legal counselor and this is where I draw the line with this sort of *********** people
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply07 Jul 2023, 16:33
Official
Dear Shannon, 

Thank you for the response. 
Kindly be advised that the query has been escalated to the Authorisation department to review the authorisation number.
Feedback will be provided as soon as there are developments on the case. 

Apologies for the inconvenience caused and thank you for your patience. 

Sizwe Hosmed team.