1 reviews | Active since Oct 2016
Sizwe Hosmed endless Lies, Deceit and Unpaid Claims.
Hi,
I received confirmation from Sizwe Hosmed that they were going to pay all the outstanding claims they ignored during the change over in Curatorship December to February.
Please see the proof below.
On Mon, Mar 9, 2026 at 11:22 AM No Reply Sizwe Hosmed <***> wrote: Good day
Kindly be advised that the claims are processed and will be paid on our next run.
A claim statement will be shared as soon as it is available.
Thank you Regards Claims Department
Today I am informed that they did not pay any of those claims, and instead the unpaid claims have gone up to R17 000 since December for the Oncologist. And from what I recall another R9 000 for the treatment at the clinic.
I don't even know if they paid for the treatments in January, February or March.
At this point I wouldn't recommend Sizwe Hosmed to anyone, unless you would like to pay very expensive premiums only to get harassed by debt collectors and massive piles of medical debt due to Sizwe Hosmed just ignoring claims.
Which makes matters worse is that you cannot get in touch with them to understand what is going on, so you get harassed for non-payment from Sizwe Hosmed side, and they just happily collect your huge premium every month.
If Sizwe actually reads this, get in touch with me now, get me someone that will call me and understand my problem, and get these claims paid, there is valid auth and its a treatment that has been going on for years.
I keep including the curator to mails but there is absolutely no response.
If I had the option to move away from Sizwe I would, but right now all I can do is warn everyone to stay away from Sizwe as they are the absolute worse and they will not be there for you in your time of need.
I have put through numerous emails and complaints, a lot of reviews/complaints on this website, I have tried calling them too many times to count. And still I cannot come right.
Thank you
Thank you for submitting your query, and apologies for the inconvenience caused.
Thank you for the provided query reference numbers. We will escalate the query to our provider manager for urgent attention.
We appreciate your patience.
Your Choice for Quality Care
Sizwe Hosmed team
Thank you for submitting your query, and apologies for the inconvenience caused.
Thank you for the provided query reference numbers. We will escalate the query to our provider manager for urgent attention.
We appreciate your patience.
Your Choice for Quality Care
Sizwe Hosmed team
I have many reference numbers on email.
But I sent through another email to claims and curator and customerservicemanager.
That ref is Rfs 282741.
Please you guys are drowning your customers in debt, this will spiral out of control and you will keep losing members.
I am going to log an official complaint with the CMS now, i'm recording all the calls I make to the call centre, I have all the emails threads.
I need to get in touch with someone at Sizwe to resolve my problems, its an imposibility to get through to your helpdesk, and they keep dropping the calls knowing that its impossible to get back to them.
So I ask you to stop ignoring my issues, and actually attend to it, all of this is just building a stronger case to log an official complaint with the Counsil of Medical Schemes.
Things like hiding curatorship updates behind portions of your website where the public can't see it, or having a call centre which you cannot get in touch with anyone, saying that you will sort out our problems but its nothing but faceless "Sizwe Hosmed team" text emails.
No names, no contact details, no way to get feedback or actually know that i'm not speaking to a auto reply.
I pay almost R13 000 a month for my parents with Sizwe and this is the level of unprofessionalism that I receive.
So please, actually care about your customers and actually do something about it.
Thank you
I have many reference numbers on email.
But I sent through another email to claims and curator and customerservicemanager.
That ref is Rfs 282741.
Please you guys are drowning your customers in debt, this will spiral out of control and you will keep losing members.
I am going to log an official complaint with the CMS now, i'm recording all the calls I make to the call centre, I have all the emails threads.
I need to get in touch with someone at Sizwe to resolve my problems, its an imposibility to get through to your helpdesk, and they keep dropping the calls knowing that its impossible to get back to them.
So I ask you to stop ignoring my issues, and actually attend to it, all of this is just building a stronger case to log an official complaint with the Counsil of Medical Schemes.
Things like hiding curatorship updates behind portions of your website where the public can't see it, or having a call centre which you cannot get in touch with anyone, saying that you will sort out our problems but its nothing but faceless "Sizwe Hosmed team" text emails.
No names, no contact details, no way to get feedback or actually know that i'm not speaking to a auto reply.
I pay almost R13 000 a month for my parents with Sizwe and this is the level of unprofessionalism that I receive.
So please, actually care about your customers and actually do something about it.
Thank you
We are working on the query and feedback will be provided.
We are working on the query and feedback will be provided.
Its been 20 Days later, and I still haven't had any feedback from Sizwe regarding this problem.
Sizwe can ignore this, but unpaid claims don't disappear it becomes a burden to the customer.
Get some attention on this and give me an update as to what is going on.
I'm going to use all of this as evidence of blatant apathy from Sizwe Hosmed's side to open up a official complaint on the Council of Medical Schemes against Sizwe.
All i'm asking for is to address these claims, we have valid authorisation and my father is going through Oncology treatments.
Sizwe has no right to suddenly reject it and then become impossible to contact.
Its not going to disappear.
Thank you,
Stephan
Its been 20 Days later, and I still haven't had any feedback from Sizwe regarding this problem.
Sizwe can ignore this, but unpaid claims don't disappear it becomes a burden to the customer.
Get some attention on this and give me an update as to what is going on.
I'm going to use all of this as evidence of blatant apathy from Sizwe Hosmed's side to open up a official complaint on the Council of Medical Schemes against Sizwe.
All i'm asking for is to address these claims, we have valid authorisation and my father is going through Oncology treatments.
Sizwe has no right to suddenly reject it and then become impossible to contact.
Its not going to disappear.
Thank you,
Stephan