Siwe Medical Fund Refusing To Pay.

Sizwe Medical Aid is failing it's members. I had a medical emergency on 28/01/2018. As per scheme rules we are not allowed to enlist our own ambulance because that will result in a co-payment. We made use of the contracted provider they give (europ assistance), to comply with scheme rules and to avoid co-payments. I then recieved a bill to the amount of R2268.64 from the provider Netcare 911. On asking Sizwe why the account was short paid they stated that they paid it according to sizwe rates and that I should sort it out with europ assist. On contacting europ assistance I was informed by them that they had the batch number and auth from medical aid to proceed and send an ambulance to me and that payments are solely made by sechaba medical (sizwe medical aid). And that they do not make the payments. On contacting Sizwe again and again they keep pointing fingers to europ assistance and refuses to log a case and give me a refrence. If an account is older than 4months they refuse to pay it. And for an account to be payed you have to log it with them and recieve a refrence. So now they have been playing for time as to jump loose their responsibility to their members and will now have a million excuses not to pay the claim. This is not the first time. We are drowning in medical debt because of short payments. We can now not afford to pay netcare as it would be taking food out of our mouths and as such will be blacklisted. We have been members since 2010 and the last 3years with them is a nightmare.