1 reviews | Active since Mar 2025
Processed claims not refunded
Good day
We submitted a claim for refund for two consultations, main member and dependant, paid privately (because the GP is not registered with Sizwe). After numerous phone calls and e-mails, to date absolutely no progress has been made. After every phone call we are promised that the problem will be escalated. Nothing happens. If we send a mail we have to wait 3 to 5 business days. Nothing happens. We are constantly being told that the claims have been paid to the practise. This is where the main problem arises. Number one, the practise is not registered with Sizwe. Thats why we submitted the claim. Number two, Sizwe does not have the practise banking details. How can ot be processed and paid to them? Number three, why would Sizwe pay the practise if we submitted the claim? Even after we had to provide proof that we paid for the claim. It has now been 72 days with absolutely no progress at all, except for the fact that we are being **** to every single time we make contact with Sizwe. We even requested proof of payment that the practise was paid. Sizwe is also unable to provide that. Again proving that fact that we are being **** to.
Thank you for submitting your query, and apologies for the inconvenience caused.
Thank you for providing the reference number of the query. We will investigate and escalate the query for urgent attention.
We appreciate your patience.
Sizwe Hosmed team
Thank you for submitting your query, and apologies for the inconvenience caused.
Thank you for providing the reference number of the query. We will investigate and escalate the query for urgent attention.
We appreciate your patience.
Sizwe Hosmed team
Thanks for the reply, as always we get absolutely no feedback from Sizwe except for the lies we are being told. The refund has not been paid to the practice. This even the doctor confirmed herself after going through the bank statements.
Why would Sizwe refund the doctor if the member submitted the claim and supp**** proof of payment for the consultations?
How can Sizwe refund the doctor if the practise is not affiliated with Sizwe, nor have the practise banking details?
Every time we complain we get issued with a new reference number. How convenient, this way the queries does not show as old or still unresolved for 75 days already. Please refer back to RE: Membership numbet *** [ WF***9N***9 ] for the original claim that is still in question
Last thing, is this how members are treated that has been with the scheme since 2001?
Thanks for the reply, as always we get absolutely no feedback from Sizwe except for the lies we are being told. The refund has not been paid to the practice. This even the doctor confirmed herself after going through the bank statements.
Why would Sizwe refund the doctor if the member submitted the claim and supp**** proof of payment for the consultations?
How can Sizwe refund the doctor if the practise is not affiliated with Sizwe, nor have the practise banking details?
Every time we complain we get issued with a new reference number. How convenient, this way the queries does not show as old or still unresolved for 75 days already. Please refer back to RE: Membership numbet *** [ WF***9N***9 ] for the original claim that is still in question
Last thing, is this how members are treated that has been with the scheme since 2001?