CS
Chris S
1 reviews | Active since Jan 2020
06 Jun 2022, 08:56
Very poor service
I had a colonoscopy done on 3 March. I app**** for per-authorisation with the codes the surgeon gave me well in advance. I didn't get it within the time they specified I would and had to contact the administrator. When I go it, the code differed from what the surgeon gave me. I sent it to them, and they said I must ensure that the scheme knows the procedure will be in their rooms and not in a hospital. I requested confirmation from the scheme but got no reply. Now, more than 3 months later they still haven't paid the full invoice despite numerous requests to the administrator and them escalating the matter.
Helpful (0)
Replies (9)0
Replies (9)
Sizwe Hosmed Medical Scheme's replyOfficial
06 Jun 2022, 09:18 Dear Chris, on behalf of the Sizwe Hosmed Medica Scheme, we sincerely apologize for the inconvenience caused. We will be in contact with you to resolve your complaint. Thanks, Sizwe Hosmed team.
Sizwe Hosmed Medical Scheme's reply06 Jun 2022, 09:18
Official
Dear Chris, on behalf of the Sizwe Hosmed Medica Scheme, we sincerely apologize for the inconvenience caused. We will be in contact with you to resolve your complaint. Thanks, Sizwe Hosmed team.
CS
Chris S's updateReviewer Update
08 Jun 2022, 11:50Someone phoned me two days ago and said they would email me, but I haven't received any further communication to date. Hosmed was fine before the amalgamation, but even the surgeon warned me before the procedure, that they were struggling with payments from Sizwe Hosmed. Methinks it's time for a change. I'm going to start looking at reviews of other schemes on hellopeter.
CS
Chris S's update08 Jun 2022, 11:50
Reviewer Update
Someone phoned me two days ago and said they would email me, but I haven't received any further communication to date. Hosmed was fine before the amalgamation, but even the surgeon warned me before the procedure, that they were struggling with payments from Sizwe Hosmed. Methinks it's time for a change. I'm going to start looking at reviews of other schemes on hellopeter.
CS
Chris S's updateReviewer Update
20 Jun 2022, 16:08The scheme still hasn't paid the provider. The reason given is that pre-authorisation is required. I app**** for same well in advance of the procedure in the prescribed manner, as indicated in my review.
CS
Chris S's update20 Jun 2022, 16:08
Reviewer Update
The scheme still hasn't paid the provider. The reason given is that pre-authorisation is required. I app**** for same well in advance of the procedure in the prescribed manner, as indicated in my review.
Sizwe Hosmed Medical Scheme's replyOfficial
20 Jun 2022, 16:26Dear Chris,
We acknowledge receipt of your comments. One of our consultants will contact you shortly to assist with your query.
Your Choice for Quality Care,
Team Sizwe Hosmed
We acknowledge receipt of your comments. One of our consultants will contact you shortly to assist with your query.
Your Choice for Quality Care,
Team Sizwe Hosmed
Sizwe Hosmed Medical Scheme's reply20 Jun 2022, 16:26
Official
Dear Chris,
We acknowledge receipt of your comments. One of our consultants will contact you shortly to assist with your query.
Your Choice for Quality Care,
Team Sizwe Hosmed
We acknowledge receipt of your comments. One of our consultants will contact you shortly to assist with your query.
Your Choice for Quality Care,
Team Sizwe Hosmed
CS
Chris S's updateReviewer Update
20 Jul 2022, 15:19It has now been more than four months and they still haven't paid the doctor. His rooms phoned me two days ago and said that they are phoning all the patients on Sizwe Hosmed because except for one who phoned the scheme every week, none of their claims have been paid. Some date back as far as January. I will definitely be moving to another medical aid.
CS
Chris S's update20 Jul 2022, 15:19
Reviewer Update
It has now been more than four months and they still haven't paid the doctor. His rooms phoned me two days ago and said that they are phoning all the patients on Sizwe Hosmed because except for one who phoned the scheme every week, none of their claims have been paid. Some date back as far as January. I will definitely be moving to another medical aid.
Sizwe Hosmed Medical Scheme's replyOfficial
20 Jul 2022, 15:44Hi Chris, thank you for reaching out. We acknowledge receipt and sincerely apologise for the inconvenience caused. One of our consultants will contact you shortly to assist with the query.
Your Choice for Quality Care,
Team Sizwe Hosmed
Your Choice for Quality Care,
Team Sizwe Hosmed
Sizwe Hosmed Medical Scheme's reply20 Jul 2022, 15:44
Official
Hi Chris, thank you for reaching out. We acknowledge receipt and sincerely apologise for the inconvenience caused. One of our consultants will contact you shortly to assist with the query.
Your Choice for Quality Care,
Team Sizwe Hosmed
Your Choice for Quality Care,
Team Sizwe Hosmed
CS
Chris S's updateReviewer Update
21 Jul 2022, 21:21Sizwe Hosmed Medical Scheme
I've seen that autoreply before, exactly a month ago to be precise. I expect as little action and result from it as I got the last time, and no has contacted me since you posted it (which is absolutely no surprise). Even if you do eventually pay the account (after more than four months) as you are supposed to, I will not stay with you. I contribute nearly R20k a month and then you won't even pay a legitimate claim of just over R3k. No thank you.
I've seen that autoreply before, exactly a month ago to be precise. I expect as little action and result from it as I got the last time, and no has contacted me since you posted it (which is absolutely no surprise). Even if you do eventually pay the account (after more than four months) as you are supposed to, I will not stay with you. I contribute nearly R20k a month and then you won't even pay a legitimate claim of just over R3k. No thank you.
CS
Chris S's update21 Jul 2022, 21:21
Reviewer Update
Sizwe Hosmed Medical Scheme
I've seen that autoreply before, exactly a month ago to be precise. I expect as little action and result from it as I got the last time, and no has contacted me since you posted it (which is absolutely no surprise). Even if you do eventually pay the account (after more than four months) as you are supposed to, I will not stay with you. I contribute nearly R20k a month and then you won't even pay a legitimate claim of just over R3k. No thank you.
I've seen that autoreply before, exactly a month ago to be precise. I expect as little action and result from it as I got the last time, and no has contacted me since you posted it (which is absolutely no surprise). Even if you do eventually pay the account (after more than four months) as you are supposed to, I will not stay with you. I contribute nearly R20k a month and then you won't even pay a legitimate claim of just over R3k. No thank you.
Sizwe Hosmed Medical Scheme's replyOfficial
21 Jul 2022, 21:42Kindly note we are treating the query with high importance, and we will provide feedback as soon as it is available.
Your Choice for Quality Care,
Team Sizwe Hosmed
Your Choice for Quality Care,
Team Sizwe Hosmed
Sizwe Hosmed Medical Scheme's reply21 Jul 2022, 21:42
Official
Kindly note we are treating the query with high importance, and we will provide feedback as soon as it is available.
Your Choice for Quality Care,
Team Sizwe Hosmed
Your Choice for Quality Care,
Team Sizwe Hosmed
Sizwe Hosmed Medical Scheme's replyOfficial
26 Sept 2022, 15:02Dear Chris, kindly note that the claim was processed and paid.
Sizwe Hosmed team.
Sizwe Hosmed team.
Sizwe Hosmed Medical Scheme's reply26 Sept 2022, 15:02
Official
Dear Chris, kindly note that the claim was processed and paid.
Sizwe Hosmed team.
Sizwe Hosmed team.