ZK
Zanele K

1 reviews | Active since Dec 2018

10 Mar 2023, 09:40

Terrible service of rejecting claims with no valid reasons

I have submitted 2 claims end of November 2021 and I had funds on my medical aid, but this medical aid is busy rejecting my claims saying benefits exceeded and every time I call the agents check and confirm that I do have funds and should have been paid, and they will escalate the matter but it has not been resolved up until today. I have been calling the since December every week but every time I'm getting the same story of the matter being escalated. this is the most terrible service, I regret why I joined this medical aid cause all they know is to **** people and not pay anywhere, their favorite line is benefits exceeded while you haven't even used those benefits. my reference numbers are N***, N ***, N***, N***, N***

0
Replies (2)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply10 Mar 2023, 09:59
Official
 Dear Zanele, 

Thank you for the provided information. 
Kindly be advised that we are working on the query and will provide feedback as soon as it is available.

Sizwe Hosmed team. 

 
ZK
Zanele K's update28 Mar 2023, 10:29
Reviewer Update
I still haven't received feedback on my query, they requested that I re-submit document in which I did and they disappeared. this medical aid lacks customer service, all they know is to deduct your money month end. Cant wait to cancel my membership