Sizwe Hosmed's TERRIBLE service

Sizwe Hosmed Medical Scheme is embarrassingly unprofessional and ***********!!! There are 3 oncology claims dating back to 8 & 9 Nov 2022 which they STILL have not paid despite my CONTINOUS e-mails and phone calls. I have the oncology plan and I can see what my mother (an 83-year-old patient) is entitled to and she has by no means used up her quota. Sizwe Hosmed’s medical statements used to be sent once a week, but since Dec 2022, Sizwe Hosmed only sends out statements every 2 weeks, so there is always a lag time where you are unsure if they have addressed your claims or just ignored them. My mother’s 4 Jan 2023 and 16 Jan 2023 statements still have the old 2022 amounts with regards to her benefit limits, which is shocking! Come on Sizwe Hosmed wake up! It is 2023! I honestly am at a loss for words. I send e-mails to Claims, to Queries, to Oncology and I receive their automatic replies which tell me they will attend to my queries within 3 to 5 working days. When I phone, I also get reference numbers, but what does it help me? Nobody does anything! It is like throwing my queries into a dark, bottomless pit! I am lucky if they bother to reprocess my claims after weeks, but then they still don’t pay despite the ICD-10 codes being clearly stipulated on the service providers’ statements. Nobody has the courtesy to call me or e-mail me at least giving me feedback on the progress or lack of progress and the reason for non-payment. How on earth Sizwe Hosmed passes their audits I have no idea! It is a total SHAMBLES. I am wondering how other 83-year-old oncology patients survive who don’t have family members to sort out (or try and sort out) their Sizwe Hosmed medical claims. Perhaps the poor old ladies just pay out of their own pockets because they cannot handle to deal with Sizwe Hosmed’s *********** and uncaring consultants. My mom is on the most expensive plan “Titanium Executive” and still I have to argue to have anything paid.