1 reviews | Active since Dec 2016

03 Nov 2025, 10:37

VERY BAD MEDICAL AID NOW SINCE UNDER CURATORSHIP

WORST MEDICAL AID EVER NOW- SIZWE HOSMED YOU TAKE OUR MONEY BUT DO NOT PAY DOCTORS OR HOSPITAL BILLS??? WE CALL AND HOLD FOR OVER AN HOUR? WE ARE BEING TURNED AWAY BY DOCTORS AND HOSPITALS. WE HAVE OFFICIALLY CANCELLED THIS BAD SERVICE. AND STILL YOU TAKING MONEY???SINCE SEPTEMBER WE ARE TREATED AS PRIVATE!!!! YOU DO NOT REFUND US, MY HUSBAND NEEDED AND OPERATION IN OCTOBER, WE SEND THE E MAILS FOR UPFRONT PAYMENT, YOU JUST IGNORE US....DO WE ALSO HAVE RULES AS MEMBERS OR ONLY YOU????? TO SEE A DOCTOR WE WERE TOLD THEY NO LONGER ACCEPT SIZWE HOSMED BECAUSE THEY ARE NOT PAYING CLAIMS. IF YOU MAKE A PHONE CALL IT TAKES NEARLY AN HOUR TO SPEAK TO SOMEONE, AND WE MUST PAY THE CALLS. ON THE PORTAL YOU SHOW CLAIMS SETTLED?? WITH WHO? NO AMOUNT SHOWING...NEXT CLAIM SHOWS PAID. NOTHING WAS PAID. YOU SAID 3 - 5 WORKING DAYS ON YOUR CLAIMS.....NOTHING HAPPEN!!! YOU ARE VERY FAST TO TAKE THE NEW HIGER ± 20 % INCREASE CONTRIBUTIONS FROM 1 NOVEMBER YOU DIDNT GIVE US A CHOICE, IF WE WANT TO GO TO OTHER OPTIONS.!!!! CAN SOMEONE PLEASE ADVICE ME WITH THE ONBUDSMAN CONTACT DETAILS????

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Replies (2)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply03 Nov 2025, 10:39
Official
 Dear Josina,

Thank you for submitting your query, and apologies for the inconvenience caused. 
Kindly provide the query reference numbers. We will investigate this matter and escalate the query for urgent attention. 

We appreciate your patience. 

Your Choice for Quality Care
 Sizwe Hosmed team 
's update03 Nov 2025, 13:57
Reviewer Update
You have all the reference numbers on your system. Why must we be patience???? For what???
from Sept till now. Beginning from October we already make contact with you about this **** you are putting us in, for urgent upfront payment for operation, we are still waiting for you to reply in 3 - 5 business days.
People must see the frustration with this medical aid.