DS
Danika S

1 reviews | Active since Aug 2020

16 Feb 2022, 11:36

Their service is absolutely TERRIBLE!!!!!!!!!!!!!!!

Since 2021 I have endless troubles with this medical aid.

In April they told me that my benefits have depleted as my day-to-day has been used up, how is that possible as all my medication and dr's visits were for chronic purposes. HOW??? Chronic is not suppose to go off as a day-to-day

It was an endless battle to get that sorted out, the amount of times my calls were cut from customer care was endless, they transfer you to various departments just to be cut, they are rude and *********** to work. WORKING FROM HOME IN THE CUSTOMER CARE SERVICE DOES NOT WORK AS THEY ARE NOT BEING SUPERVISED OR TRACKED SO THEY DO WHAT EVERY THEY WANT AND CUT CALLS SO THAT THEY DON"T HAVE TO DEAL WITH MEMBERS.

Some of the matters were sorted out ONLY at the end of November. So much for paying for a medical aid and I cannot receive my chronic medication

Now, lets look at 2022. Different story but still the pathetic service!

I sent in my prescription and blood test on the 25th of January 2022. It needs to be authorized in order for me to get my CHRONIC MEDICATION. I don't know how people who CANNOT read can work there, after 3-5 days I received an Authorization document, showing 2021's approved chronic mediation.... I emailed CHRONIC and informed them it is the wrong document. A week later I received my updated authorization form with a password protected PDF form where I need to enter a 7-digit practice code.. I AM NOT A PROVIDER!! Luckily after hours of frustration I figured it out on my own. The form showed most of my CHRONIC medication are approved, one is rejected as it needs the blood test report (which they did receive), and some medication was not even on. I emailed again correcting them and attaching the prescriptions with the blood tests to that email and waited again DAAAYYYYYYYS for them to get back to me. AND AGAIN IT WAS INCORRECT WHEN I RECEIVED IT. I corrected it again!! this has been going on for almost 3 weeks where they cannot fix my stuff.

A new Authorization form came through, 7-digits practice number password protected form, I could not open it since last week!! I informed them that I cannot open it, then I receive an email from them stating that the Authorization letter has been sent to the member directly and is password protected, this is their authorization letter.... you don't say, that is not the issue, the issue was I CANNOT ACCESS THE DAMN FORM. I am still waiting for feedback as you don't get any from chronic nor management.

Multiple emails have gone to Refilwe Masuge, Sicelo Mbambo, Darryl Frost and Chronic Medication SizweHosmed. and NOTHING has been done, all you receive is automated emails that they will get back to you within 3-5 working days or they are on leave. Clearly they do not care about their members nor their conditions. I also informed them that I cannot use their app as they have the incorrect email. It was also done in the 25th of January, still nothing has been done. My chronic medication is done, and need to get the new medication ASAP as it is crucial now at this stage, but who cares right, they just want your money and skrew the rest

How many emails or phone calls should be made just for one small thing to be fixed? Why did they use practice numbers as passwords if you are not a provider? it does not make logically sense! and just to add a"." to fix an email address on their side is sooooooo much to ask for.

I am sick and tired of this ****

Their service is absolutely TERRIBLE!

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Replies (2)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply16 Feb 2022, 13:00
Official
Dear Dinaka,

We acknowledge receipt of your comments. One of our consultants will contact you shortly to assist with your query.

With Care
Team Sizwe Hosmed
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply29 Sept 2022, 11:12
Official
 Member has been assisted and query resolved. 

 Team Sizwe Hosmed.