Short payment of hospital account and EMPTY PROMISES of payment for months!!!

I am SUPER frustrated with Sizwe Hosmed Medical Aid Scheme! They DON'T DESERVE the one star I gave them!!!

I posted a complaint here on Hello Peter about an outstanding account that has not been paid by the scheme three weeks ago and to date my query has not been resolved. A very nice lady contacted me, she is trying to assist but it is evident that it is out of her hands. For the past few months the outstanding account has been sent for reprocessing literally every week without it being paid up until now. This has been going on since the service date in January - March 2022. The people in the different departments DON'T communicate nor do their system speak to each other. I have been getting the run around all this time and I am quite sick of it! Then it's the authorisation number that hasn't apparently been updated or a LOC code that is incorrect then this then that....just PATHETIC in my opinion! I can't wait to change to a different medical aid once I have the opportunity to do so. People please be cautious when deciding on which medical aid to join because this scheme short pays claims and keep using the excuse of being backlogged, yet newer claims are being paid? Super odd! This is NOT my problem though! For three weeks all I have received are empty promises! Nothing is put in writing all the promises were made by telephone, so NO evidence of confirmation that payment will be made.

My family is being ****** of their right to have healthcare as I am to afraid to take my children to a doctor or specialist in case of non payment.

Meanwhile, I have received a final demand letter advising that I will be handed over to attorneys, be liable to pay the outstanding account as well as the legal fees and to top it off I will receive a judgement against my good name. I had to beg and plead to delay the process in the hope that the medical aid will pay the account. I have since been told that my time is up and payment is due immediately. I don't have the finances to pay the account!!!

This medical aid scheme should be exposed as to how they operate and treat their members! Service from them is disappointing and NON-EXISTENT! Team leaders and managers don't have the decency to email or call to explain the reason for the poor service.

All I want is for this to be sorted so that I can move on with my life and not have to worry about outstanding bills.