DM
Dipuo M

1 reviews | Active since Nov 2021

30 Oct 2023, 14:56

Sizwe terrible service

Hi hospital case: Date16-03-2023,Practice No. ***. R500 COVID-19 TEST, firstly they said I needed a letter from my daughter's Pediatrician explaining why I needed a test. I submitted it, now they're telling me that I needed a pre-authorization when, I had my daughter's authorization already. I was not the patient, I was just there for my daughter, their stories change every time I call. Claim not paid. R2640 blood test not paid. Claim was submitted to enable-med they don't work with in hospital case then rejected, Sizwe was supposed to pay,when I called in Sizwe rejected it because it is an in hospital claim,as we speak I am liable for the both amounts and continue paying my monthly medical aid. I am deeply disappointed and broken of the horrible service is providing.

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Replies (1)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply30 Oct 2023, 15:19
Official
Dear Dipuo,

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