MB
Merike B

1 reviews | Active since Aug 2015

28 Oct 2022, 11:46

Unresolved Queries - Maternity

I registered with the maternity program 06/09/2022 where they gave me an authorization no My doctors appointment took place 19/09/2022 where the medical aid failed to pay any amount over R2000.00 that was charged including a scan where the maternity benefits should cover it reason stated that I was not registered for the maternity program

I have email and phone numerous times without any feedback as yet

the last phone call sizwe consultant said the claim went in for review so that it can be paid.

How can 1 claim query take over a month to get sorted? and how can they not pay a cent towards the doctors appointment? I pay a lot of money every month for medical aid and now I have to pay my own doctors appointment...

this is really unfair the doctor is awaiting payment and is going to put in another claim while I'm also waiting for feedback since I had to pay everything in cash.

Disappointed

0
Replies (2)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply28 Oct 2022, 12:08
Official
Dear Merike, 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.
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply08 Nov 2022, 13:10
Official
Member assisted, query  closed.

SizweHosmed team