kK
kbthwala K

1 reviews | Active since Mar 2017

22 Apr 2020, 12:04

**** who live you till the end to disappoint you!!

So I was accepted to Sizwe baby program and they have been paying eveyrthing for me since Jan. Now I have been admitted to hospital for a c section that urgent I'm told I entered the system with pre existing conditions. My question is why won't I rejected in Jan and why have they been paying my consultantion fees? Wasn't I supposed to be told that in Jan which is when I founded out I'm pregnant and my baby is not full term since the op is needed. I'm disgusted at them right now how do you throw a mother who is in danger with her child at the end when you promised to cover her? I'm told my case is being investigated so o guess my health n baby can also take a chill pill and wait for their faith?? I just want to give birth and look for something better as I'm not even sure if they will pay for my baby which they saying they will. But I'm afraid I will get a bill requesting thousands from me. And funny thing I was given an email to use to get an urgent reply I'm told to wait for 3-5 days so obviously this Medical Fund doesn't understand emergencies. I'm sorry to who ever is still to join.

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Replies (2)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply22 Apr 2020, 12:23
Official
Dear Khanyi,
 
We acknowledge receipt of your comments. One of our consultants will contact you shortly to assist with your query.
 
With Care,
Team Sizwe
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply22 Apr 2020, 14:58
Official
Dear Sizwe Member, 
 
Upon doing our investigation the following facts were realised. 
Member signed the application forms on 15/11/2019 she was approximately 4 months pregnant already at that time based on her being 37 weeks as of 21/04/2020. 
This is contravention of scheme rules and is thus treated as a non-disclosure on the members part. 
 
With Care, 
Sizwe Medical Fund