CS
Chris S

1 reviews | Active since Jan 2020

08 Dec 2022, 15:16

Terrible service and non-payment

My son went for an assessment at an occupational the******. Prior to the assessment, the practice checked with Sizwe Hosmed whether it would be covered and they confirmed that it would. Subsequently the practice couldn't submit the claim to the scheme, so I did on 2 September 2022. I got an autoreply that promised and answer in 5 business days. I didn't receive any and on 26 October 2022 the practice let me know that it still hasn't been paid so I submitted it again. I got an autoreply again but no further response so I sent a follow-up email on 8 November 2022 and got an autoreply again. The practice just let me know that they still haven't been paid, so I came here as a last resort. I'm so glad I cancelled my membership and can look forward to better service from 1 January 2023. Three of my colleagues have done the same. At this rate you'll have no members left soon Sizwe Hosmed.

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Replies (6)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply08 Dec 2022, 15:34
Official
dear Chris, 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


CS
Chris S's update13 Dec 2022, 08:12
Reviewer Update
And just like your autoreplies to my emails; another promise of feedback (the one above) isn't delivered on. To make it worse, I got a phone call form and anesthetist yesterday that her account from March 2022 (for which I obtained pre-authorisation with great difficulty) still hasn't been paid!
CS
Chris S's update05 Jan 2023, 14:14
Reviewer Update
It's nearly a month later and Sizwe Hosmed still hasn't contacted me as they promised above. Come on!
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply05 Jan 2023, 14:49
Official
Dear Chris, 

Thank you for reaching out again. Kindly be advised that feedback was provided via email. 
The claim was paid and the query is closed.

Sizwe Hosmed team. 
CS
Chris S's update23 Mar 2023, 16:12
Reviewer Update
Dear Sizwe
The claim hasn't been paid. The occupational the****** contacts me monthly to let me know that it hasn't been paid. Please send them proof of payment if it has been paid.
CS
Chris S's update13 Apr 2023, 08:40
Reviewer Update
Sizwe
According to the occupational ther apist the claim hasn't been paid. Please send them proof of payment so the issue can be concluded. I left your scheme almost four months ago and I'm still struggling with an issue from October last year!