SS
Sipho S

1 reviews | Active since Feb 2012

05 Jan 2022, 12:09

Sizwe does not pay hospitals and doctors on time

I delivered a baby on 13/10/21 at Vincent Pallotti Hospital in Cape Town at a hospital cost if R34k. My wife was discharged on 16/10/21. This is the 3rd month since and the hospital bill has still not been paid, let alone other bills that are associated with the same admission like the gynaecologist, paediatrician, anaesthetist and pathologists that I struggled to get settled by Sizwe. Vincent Pallotti initially put wrong dates and Sizwe didn’t pay and they (Sizwe nor the hospital) didn’t inform me until I made a follow-up enquiry at the end of Nov ‘21. When the dates were corrected, then I was told that the hospital also put a wrong code. This has left me as a member of Sizwe with a headache that the two institutions cannot resolve still, when it was not my error but the hospital’s. Clearly Sizwe doesn’t care about its members and the hospital also doesn’t care about its clients. They also don’t talk to each other, let alone just informing you. As a member I rely on them to resolve a matter I have no control over. I have now taken a decision to leave Sizwe Medical Aid, it is just a headache to deal with them. However, the Medical Aid should settle all the bills accumulated while I was a member.

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Replies (3)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply05 Jan 2022, 14:37
Official
Dear Sipho,

We acknowledge receipt of your comments. One of our consultants will contact you shortly to assist with your query.

With Care
Team Sizwe Hosmed
SS
Sipho S's update06 Jan 2022, 13:22
Reviewer Update
It is now more than 24 hrs since I wrote a review about how Sizwe doesn’t want to pay my claims. Nkosinathi just called me yesterday to get details that I provided more than ten (5) times every time I spoke to their customer support agent, as if their system does not keep a record and I have to repeat myself over and over. The bottom line is that Sizwe doesn’t care about its members period. In fact it is worse when you don’t get a subsidy and you’re paying 100% towards the monthly medical costs for your family, like in my case.
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply29 Sept 2022, 10:48
Official
 Member assisted and query resolved. 

 Team Sizwe Hosmed.