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Kevin S

1 reviews | Active since Dec 2019

25 Apr 2024, 17:51

Shocking service from SizweHosmed Medical Aid

Absolutely shocking service from SizweHosmed on the payment of valid claims with pre-authorisation. Both the supplier and I have being following up with SizweHosmed for the past 5 months, each time we get the same response and a new reference number. I am not the kind of person to go to social media to complain about a company, but I see no other option presently. Hoping SizweHosmed will see this post and reach out to me to resolve my two claims once and for all.

0
Replies (9)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply26 Apr 2024, 07:58
Official
 Dear Kevin,

Thank you for submitting the query, we sincerely apologise for the inconvenience caused. 
We will be in contact with you to resolve your complaint. 

Sizwe Hosmed team 
KS
Kevin S's update01 May 2024, 11:56
Reviewer Update
What an absolute joke!! I received a call from SizweHosmed on 26 April. The lady listened to my complaint and promised to get back to me with a solution. Still waiting for the second call with the solution!!
I do not recommend this overpriced and *********** "medical aid" to anyone.
SizweHosmed, CALL ME BACK AS PROMISED!!!
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply02 May 2024, 08:04
Official
Dear Kevin, 

Kindly note that the claims are still under review, feedback will be provided as soon as there are developments on the query. 
We appreciate your patience. 

Sizwe Hosmed team. 
KS
Kevin S's update02 May 2024, 09:29
Reviewer Update
They have been under review for 5 months!! How long does it take????

KS
Kevin S's update02 May 2024, 09:31
Reviewer Update
Every time I call in and ask I am told it has been escalated for urgent payment. Same old story for the past few months. It is NOT acceptable and needs to be sorted as a matter of urgency!
KS
Kevin S's update02 May 2024, 09:32
Reviewer Update
I hope your next response will be to tell me when the claims will be paid!

KS
Kevin S's update21 May 2024, 10:12
Reviewer Update
Another month on and still no feedback from SizweHosmed - now 6 months that the claim has not been paid and is still "under review".
I think SizweHosmed needs to be put under review for shocking service and breach of contract - they take you contributions monthly but does not pay a valid claim, which has a pre-authorisation number mind you.
Absolutely disgusting - would not recommend this "medical aid" to anyone!
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply21 May 2024, 10:37
Official
Dear Kevin, 

Thank you for reaching out again. 
Kindly be advised that the claim is still under review, as soon as there are developments on the query, feedback will be shared. 
However, we can assure you that we are monitoring the query. 

Thank you for your patience. 
Sizwe Hosmed team. 
KS
Kevin S's update21 May 2024, 12:35
Reviewer Update
SizweHosmed

This claim has been under review for 6 months now. How much longer does it take to review?? And in any case, what is there to review. I have a pre-authorisation number for a valid claim. Get someone to call me so that we can finalise this issue!!

Please prioritise and pay. End of discussion!!!