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Ian S

1 reviews | Active since Jan 2018

11 Jul 2023, 22:35

Sizwe is a living nightmare.

Forget about your worst nightmare.Sizwe is far beyond and above that.They always delaying having to pay out claims,or looking for a reason not to pay out claims. They have stated that my mom of 73 years cannot submit or dispute any claim after 2 months,even though having acknowledged that they have made an error when processing her initial claim.Can you believe this junk? It is hard enough for a 70 year old to remember a phone number-So can anyone of the educated Sizwe staff please tell me,how is it possible for a 73 year old to decipher an error made by your claims dept within 2 months,if you yourselves as experienced staff were unable to pick up the error you have made after 4 months? This is the scenario.My mom was hospitalised in the beginning March and at the end of April 2023.They incorrectly settled the various doctors accounts with monies that was in my mom's "day to day" pool,instead of using funds from her "inhospital benefits".This resulting in the doctors not getting paid the full amount which was claimed for.This also resulted in my mom's "day to day" funds being maxed out which inturn resulted in her having no funds left to cover some of her day to day blood tests,x-rays etc. A total mess which was created by the Sizwe Staff,who now refuses to clean up their mess all because my mom of 73 couldn't detect their error and negligence herself within the 2 month period.It is sad state of affairs

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Replies (1)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply12 Jul 2023, 08:23
Official
Dear Ian, 

Thank you for submitting the query, we sincerely apologise for the inconvenience caused. 
We will be in contact with you to resolve your complaint. 

Sizwe Hosmed team