LJ
Lukhanyiso J

1 reviews | Active since Nov 2020

08 Dec 2022, 18:35

Sizwe Hosmed Is a dssappointing medical scheme

Terrible service from Sizwe Hosmed. I have been with Sizwe Hosmed for over a year now & everything has been going well, until I started receiving outstanding payment from Doctors that were supposed to be paid by the medical aid. The most painful thing, is finding when you need medical consultation from my doctor & they make you aware that they have not received any payment from the medical aid since your last visit. This is very aggravating since I pay for the medical at my own cost. They continue to debit me every month, with no delay or issues with the debits, for a medical aid that I am not even fully taking advantage of the benefits except for going to consult a doctor. When I call the call center I am told they have a backlog in paying doctors (funny thing is, they do not have a backlog when it comes to debiting my account every month) & there is a turn around time of one month before any doctor is paid. It has been more than a month & no doctor has been paid. This is not convincing me to stay with the medical scheme, as I am looking for better service elsewhere.

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Replies (8)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply09 Dec 2022, 06:14
Official
Dear Lukhanyiso, on behalf of Sizwe Hosmed Medical Scheme, we sincerely apologise for the inconvenience caused. We will be in contact with you to resolve your complaint. Thanks, Sizwe Hosmed team


LJ
Lukhanyiso J's update10 Dec 2022, 15:04
Reviewer Update
I hope the turnaround time for Sizwe to be in contact will not be as long as the payment of doctors. While I am waiting for someone to be in contact from Sizwe, I am receiving emails from doctors who have not received their payment. Why do I even bother to continue the cover with Sizwe when they will not even pay for doctor's consultations? They are demanding that I settle the outstanding amounts out of my own pocket.
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply12 Dec 2022, 08:58
Official
Dear Lukhanyiso, we have tried to reach you on the provided telephone number to no avail. Kindly advise when the telephone number will be available for calls and/ or provide an alternative number. 

Sizwe Hosmed team.
LJ
Lukhanyiso J's update01 Jan 2023, 14:52
Reviewer Update
Poor communication from Sizwe regarding my concerns. I have requested feedback regarding my complaint & the consultant that was assigned to attend to my complaint did not respond to my request for an update. Could someone from Sizwe please send me an update if the concerns have been addressed
LJ
Lukhanyiso J's update25 Jan 2023, 14:48
Reviewer Update
Still no communication from Sizwe. A very pathetic attempt to rectify not paying doctors on time. Can I please get an update on the status of outstanding payments.
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply25 Jan 2023, 15:07
Official
Dear Lukhanyiso, 

Thank you for reaching out again. 
Kindly note that feedback will be provided via email. 

Sizwe Hosmed team . 
LJ
Lukhanyiso J's update29 Jan 2023, 01:45
Reviewer Update
Dear Sizwe Hosmed Team

Could you please let me know when will I receive feedback regarding my complaint? What is more aggravating is that when I contacted the consultant that was assigned to my case, I was told that I should contact the call center if I want feedback regarding my complaint. Another consultant that was attending to my issue, just does not reply to my e-mail when I am following up.

Sizwe Hosmed is a pathetic medical aid that just does not care about its members. Absolutely pathetic.
LJ
Lukhanyiso J's update26 Jun 2023, 16:21
Reviewer Update
Sizwe Medical Scheme is the most pathetic medical scheme I have ever had the most unfortunate experience with. How does a medical scheme kept on debiting money from my account for months, cannot pay doctors? All I can say is, the service from this medical scheme has been pathetic, consultants are ****s when they tell you that payment has been done to doctors & receive notifications from doctors requesting their payment from me when I had thought that I had medical cover.