Sizwe Hosmed Med. Aid: Deplorable Service

After being a member of Hosmed medical aid for 14 years, they amalgamated with Sizwe to became Sizwe Hosmed. What a total embarrasment the fund became!

I used to be refunded for services I paid myself within a week or so. I am waiting for more than 2 months now for a refund. Firstly, I needed to send the claim 3 times to Sizwe Hosmed. After various emails more, the only response from them is the following:

"Dear Valued Member Thank you for your request/query. Our customer service team is now looking into your query. A more substantive response to your problem and a suitable solution will be provided to you within 3-5 business days."

I also received this one on 30 March 2022:

On Wed, 30 Mar 2022, 12:49 Jacqueline Mahlaba, <***> wrote:

"Good day Kindly process the attached claim. Member paid cash and is due for a refund. It is noted on the statement that the member paid. Kindly advise if this is adequate to refund the member. Please send correspondence"

Directors: KJ Msibi (Chairman) | O Luthanga | H Matsipa | M Tonjeni | Dr T Selele | M Ngubane | Dr O Mahanjana | Dr NB Mabuya (Chief Executive Officer) |

I phoned, and after holding on for about half an hour, was able to speak a consultant. She clearly had not much of an idea of what is going on, and came up with some controversial advice, actually saying nothing which made sense indeed.

It is really amazing, almost unbelievable how a good medical fund can so quickly detoriated to such a hopeless mess. I cannot wait to get rid of Sizwe Hosmed and their deplorable, almost non-existing service, and move to another medical aid.