MD
Melissa D

1 reviews | Active since Nov 2016

23 Oct 2025, 12:22

Pathetic service and *******..

Good day

Sizwe has gone bankrupt thus they are claiming from the members MSA and not the correct benefits. I had my entire MSA being depleted as they incorrectly used my MSA to pay for my optometrist claims. The claim was processed end of May as per the optical dept but Sizwe reversed the payment in Sept and paid from my MSA. When liaising with the consultants who are extremely rude-Tshogofatso, Ketty, they refuse to assist and disconnect the calls when questioned as to why they have incorrectly processed claims from MSA and not the optometry benefits. Numerous emails have been sent to the claims+queries+team leaders of Sizwe and no replies are given or feedback.

Sizwe also pays out claims from members MSA for chronic and oncology claims which should have paid from the members correct benefits.

Sizwe has no funds to settle claims thus they are using members MSA which puts members in a situation as their MSA is now being depleted.

Pathetic service and ******* for *****ing from innocent people who pay high premiums for a service that cant be rendered properly.

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Replies (1)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply23 Oct 2025, 12:24
Official
Dear Melissa,

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. 

We appreciate your patience. 

Your Choice for Quality Care
 Sizwe Hosmed team