SS
Shaakira S

1 reviews | Active since Aug 2026

12 Oct 2026, 11:34

Sizwe hosmed ********** and ********, worst medical aid ever

I'm so disappointed in this medical aid that I went looking for another medical aid and joined fedhealth... Sizwe medical aid, when i called them in the beginning of the year to get am authorization number to see my psychiatrist for the year, I was specifically told that I don't need an authorization number... So they paid out the full year with a 30% co payment... But by August after seeing my psychiatrist, they refused to pay... So when I called them they said I needed auth number... But when i told them they said i didn't they said it was an issue with the codes, so they gave me the correct codes and my doctor amended them... They still refused to pay.

Another issue was that i was prescribed an anti psychotic which was not on the formulatary list so there was a 30% co payment... They charged me 70% instead of 30% so the medication is R800 and something and I was paying about R590 every month... For several months....

I expect that they pay my psychiatrist and pay me back in full..

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Replies (1)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply12 Oct 2026, 12:24
Official

Dear Shaakira,

Thank you for submitting your query, and apologies for the inconvenience caused.

Kindly provide the query reference numbers and membership number. We will escalate the query for urgent attention.

We appreciate your patience.

Your Choice for Quality Care

Sizwe Hosmed team