Paying R6300 for nothing.

So for the past 2 years we've really been struggling with Sizwe. My husband was diagnosed with Melanoma in 2019. We switched from fedhealth to sizwe as my parents has been with them for almost 20 years. nevertheless, he got approved by sizwe for his tests every year. he has an oncology number etc. January 2022 he went for his first tests and sizwe deducted is from our savings. After numerous calls we finally got assisted and the savings was reimbursed and the funds were deducted from the oncology funds. This took 6 months to be sorted. Keeping in mind that during that time we have to pay all medical expenses ourselves while sizwe took their time. Now, this year, same thing happened. We've been contacting them since march as they have deducted it from our savings AGAIN. We had another approved oncology number with more than R215k savings in. They deducted it from our savings again. So AGAIN we've been contacting them numerous times. Receiving promises that we would get personal email feedback. The customer agent Mbali, gave me her personal email and said she would give me feedback. Then after a week of not receiving an email, i called again (keep in mind we've dealt with almost 20 customer services agents and they just said - its been submitted). Well i called again and Mbali did not even take my calls. She then gave the instruction to Victoria who called me back at least on Friday the 9th of July, again she promised to investigate then she would call me back. Well still no feedback.

The problem is that Mbali said the doctor is not using the correct codes. Well i sent her the statements and she confirmed that the correct codes were used. Then she said the doctor is a normal GP and that is a problem when doing tests. What i dont understand is, last year after numerous calls they approved the doctor and the pathology invoice and reimbursed our savings. Now all of a sudden, the same doctor is not approved and according to sizwe it is not oncology related. By this specific doctor he does his mole mapping and tests. The invoices states that it was done. Now according to sizwe, it is not oncology related? Then after promises that it will be sorted and reimbursed we are sitting with doctors accounts that we have to pay out of our pocket. We're waiting for more than R4k to be reimbursed. In the meanwhile, my husband had to go to casualties and we had to pay the account ourselves. I dont know what the use is in paying R6300 for our medical aid and having to pay everything ourselves. Why are these customer care agents being paid if NOTHING gets resolved!!!!!

So i'm hoping that coming to hello peter is going to help in some way.

Service date 14th AND 16th of Feb.