YN
YOLANDE N
1 reviews | Active since Aug 2009
11 May 2026, 16:10
TERRIBLE SERVICE
I called Sizwe Hosmed and stayed on the line for 30 minutes. I was put through at least 3 times. Before this call a quote was forwarded to Sizwe and the patients procedure was declined HOWEVER D68.0 (Von Willebrand disease) is a Prescribed Minimum Benefit (PMB) condition in South Africa, as it falls under the category of blood disorders that require consistent, necessary, and often emergency medical management. The ICD10 code is on the quote but yet more forms has to be completed. I asked the call centre agent to sent the forms while I am on the line and he told me he cant type and be on the phone at the same time
Helpful (0)
Replies (3)0
Replies (3)
Sizwe Hosmed Medical Scheme's replyOfficial
12 May 2026, 08:39Dear Yolande,
Thank you for submitting your query, and apologies for the inconvenience caused.
Thank you for the provided query reference numbers. We will escalate the query for urgent attention.
We appreciate your patience.
Your Choice for Quality Care
Sizwe Hosmed team
Thank you for submitting your query, and apologies for the inconvenience caused.
Thank you for the provided query reference numbers. We will escalate the query for urgent attention.
We appreciate your patience.
Your Choice for Quality Care
Sizwe Hosmed team
Sizwe Hosmed Medical Scheme's reply12 May 2026, 08:39
Official
Dear Yolande,
Thank you for submitting your query, and apologies for the inconvenience caused.
Thank you for the provided query reference numbers. We will escalate the query for urgent attention.
We appreciate your patience.
Your Choice for Quality Care
Sizwe Hosmed team
Thank you for submitting your query, and apologies for the inconvenience caused.
Thank you for the provided query reference numbers. We will escalate the query for urgent attention.
We appreciate your patience.
Your Choice for Quality Care
Sizwe Hosmed team
Sizwe Hosmed Medical Scheme's replyOfficial
13 May 2026, 15:06Dear Yolande,
Kindly note that we have shared a PMB form via the provided email. Kindly let us know whether there is anything you need - you may respond via email.
We sincerely apologies for the inconvenience this has caused you.
Kindly note that we have shared a PMB form via the provided email. Kindly let us know whether there is anything you need - you may respond via email.
We sincerely apologies for the inconvenience this has caused you.
Thank you for your patience.
Sizwe Hosmed team.
Sizwe Hosmed team.
Sizwe Hosmed Medical Scheme's reply13 May 2026, 15:06
Official
Dear Yolande,
Kindly note that we have shared a PMB form via the provided email. Kindly let us know whether there is anything you need - you may respond via email.
We sincerely apologies for the inconvenience this has caused you.
Kindly note that we have shared a PMB form via the provided email. Kindly let us know whether there is anything you need - you may respond via email.
We sincerely apologies for the inconvenience this has caused you.
Thank you for your patience.
Sizwe Hosmed team.
Sizwe Hosmed team.
YN
YOLANDE N's updateReviewer Update
18 May 2026, 15:54It is now been 7 days and yet we have not been helped. We received forms for a out of hospital PMB condition WHICH IS NOT WHAT WE NEED.
The patient has Von Willebrand disease. She needs teeth out and needs to go to theatre as Von Willebrand disease is a bleeding disorder. It is a PMB condition with ICD10 code D68.0. - spoke to 5 call centre people today and they keep asking for documents that is irrelevant because the PMB is the Von Willebrand disease. Surely the medical aid has that on record! Please can someone higher up who can assist call us on ***. This is now urgent as the second date for theatre is approaching
The patient has Von Willebrand disease. She needs teeth out and needs to go to theatre as Von Willebrand disease is a bleeding disorder. It is a PMB condition with ICD10 code D68.0. - spoke to 5 call centre people today and they keep asking for documents that is irrelevant because the PMB is the Von Willebrand disease. Surely the medical aid has that on record! Please can someone higher up who can assist call us on ***. This is now urgent as the second date for theatre is approaching
YN
YOLANDE N's update18 May 2026, 15:54
Reviewer Update
It is now been 7 days and yet we have not been helped. We received forms for a out of hospital PMB condition WHICH IS NOT WHAT WE NEED.
The patient has Von Willebrand disease. She needs teeth out and needs to go to theatre as Von Willebrand disease is a bleeding disorder. It is a PMB condition with ICD10 code D68.0. - spoke to 5 call centre people today and they keep asking for documents that is irrelevant because the PMB is the Von Willebrand disease. Surely the medical aid has that on record! Please can someone higher up who can assist call us on ***. This is now urgent as the second date for theatre is approaching
The patient has Von Willebrand disease. She needs teeth out and needs to go to theatre as Von Willebrand disease is a bleeding disorder. It is a PMB condition with ICD10 code D68.0. - spoke to 5 call centre people today and they keep asking for documents that is irrelevant because the PMB is the Von Willebrand disease. Surely the medical aid has that on record! Please can someone higher up who can assist call us on ***. This is now urgent as the second date for theatre is approaching