sS
sizwezuma S

1 reviews | Active since May 2017

24 Jun 2020, 12:13

Unreliable

I wrote the following review on the 4th of June: The application process took forever, which was a sign but I ignored it. I recently went to my GP, who prescribed certain meds. I got a text from the Med scheme that it was flagged, since it's considered chronic. I consulted with the Med Scheme and was told that I should have app**** for pre-authorization before going to the pharmacy. (Meaning, my health doesn't come first. I have to wait for 3-5 working days for them to decide whether or not I'm granted to access that medication.) I was then told to get the script from the pharmacy and e-mail it to them, which I did. It was then declined. Meaning I am liable to pay the pharmacy out of my own pocket. Notwithstanding the fact that one has to pay levy after levy for over the counter medication. As a person who's on medical aid I feel like I'm still taking care of my health out of my own pocket. I wouldn't recommend Sizwe Medical Fund. I regret joining it.

I got contacted by their PR & Media Specialist and he assured me that it is being resolved. The matter has been escalated. He seems to be the only one concerned. I am still waiting to be contacted by the relevant parties. It's now the 24th of June.

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Replies (3)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply25 Jun 2020, 10:06
Official
Dear Sizwe,

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

with care,
Team Sizwe
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply01 Jul 2020, 12:16
Official
Member has been assisted and query resolved
sS
sizwezuma S's update01 Jul 2020, 12:34
Reviewer Update
The resolution of the matter was that they refused to pay for my over the counter medication because of their so-called system protocol. That time I had a entire years' saving. Therefore I am liable to the pharmacy from my own pocket. So glad I resigned from the scheme.